Survey - Optional Statistics (Majority of Programs; 25% Response Rate)

NIH Office of Intramural Training & Education Application (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0299 can be found here:

Documents and Forms

Document Name Document Type
Form 17 Survey - Optional Statistics (Majority of Programs; 25% Response Rate) Form and Instruction
17 Survey - Optional Statistics Form17-Survey-OptionalStatistics.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Survey - Optional Statistics (Majority of Programs; 25% Response Rate)	Agency IC Tracking Number:

Is this a Common Form? No		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	17	Survey - Optional Statistics	Form17-Survey-OptionalStatistics.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,571	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	2,571	2,571
Annual IC Time Burden (Hours)	129	129
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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