ANA Panel Reviewer Profile Questionaire

Generic Grant Reviewer Recruitment Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0477 can be found here:

Documents and Forms

Document Name Document Type
Form 1 ANA Panel Reviewer Profile Questionaire Form and Instruction
1 Panel Reviewer Questionnaire Panel Reviewer Questionnaire-2017.pdf Form and Instruction
GRR Request Form-ANA Reviewer Profile.pdf ANA Reviewer Profile IC Document

Information Collection (IC) Details

IC Title:	ANA Panel Reviewer Profile Questionaire	Agency IC Tracking Number:

IC Status: New

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	1	Panel Reviewer Questionnaire	Panel Reviewer Questionnaire-2017.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	94	94
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ANA Reviewer Profile	GRR Request Form-ANA Reviewer Profile.pdf	03/01/2017

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