Information Collection

NIEHS Grantee

IC 205836 under ICR 201603-0925-001 · OMB 0925-0568.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0568 can be found here:

Documents and Forms

Document Name Document Type
Form 2 NIEHS Grantee Form and Instruction
2 NIEHS Database Screenshots Att 3. NIEHS OMB Screenshots.docx Form and Instruction
Att 1 NIEHS Data Collection Form .pdf NIEHS Databse Downloadable Form IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NIEHS Grantee	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	NIEHS Database Screenshots	Att 3. NIEHS OMB Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 0925-0014 Clinical Research: Student Records, HHS/NIH/OD/OIR/OE	FR Citation: 67 FR 60742

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,700	-1,800	4,500
Annual IC Time Burden (Hours)	1,350	-900	2,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
NIEHS Databse Downloadable Form	Att 1 NIEHS Data Collection Form .pdf	03/01/2016

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