Information Collection

Non-profit organizations with interest in supporting research sign-up (NIDA)

IC 233239 under ICR 201602-0925-001 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Non-profit organizations with interest in supporting research sign-up (NIDA)	Form
1 Sign-Up Form Instrument.docx	Form
Non-Profit Organization with Interest in Supporting Reserch Sign-up.doc Non-profit organizations with interest in supporting research sign-up	IC Document

IC Title:

Non-profit organizations with interest in supporting research sign-up (NIDA)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Sign-Up Form	Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Non-profit organizations with interest in supporting research sign-up	Non-Profit Organization with Interest in Supporting Reserch Sign-up.doc	09/28/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.