Information Collection

Outreach Partnership Program Annual Meeting Registration Form (NIMH)

IC 235603 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⚠️ Notice: This information collection may be referencing outdated material.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 Outreach Partnership Program Annual Meeting Registration Form (NIMH)	Form and Instruction
1 2019 OPP Registration Form and Questions 2019 OPP Registration Form and Questions.032919.docx	Form and Instruction
Request for OMB Clearance - OPP Annual Meeting Registration Form.032919.docx OPP Annual Meeting Registration Form	IC Document

IC Title:

Outreach Partnership Program Annual Meeting Registration Form (NIMH)

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 and Instruction	1	2019 OPP Registration Form and Questions	2019 OPP Registration Form and Questions.032919.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

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	90	90
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OPP Annual Meeting Registration Form	Request for OMB Clearance - OPP Annual Meeting Registration Form.032919.docx	04/04/2019

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