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BUILD Faculty Annual Follow-up survey
Evaluation of the Enhancing Diversity of the NIH-funded Workforce Program for the National Institute of General Medical Sciences (NIGMS)
OMB: 0925-0747
IC ID: 221959
OMB.report
HHS/NIH
OMB 0925-0747
ICR 201709-0925-003
IC 221959
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0747 can be found here:
2023-05-15 - Revision of a currently approved collection
2020-02-11 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 7
BUILD Faculty Annual Follow-up survey
Form and Instruction
7 BUILD Student Annual Followup Survey
Attachment_14_-_BUILD_Faculty_Annual_Followup_Survey.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
BUILD Faculty Annual Follow-up survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
7
BUILD Student Annual Followup Survey
Attachment_14_-_BUILD_Faculty_Annual_Followup_Survey.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service,
FR Citation:
67 FR 187
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,000
0
0
0
0
1,000
Annual IC Time Burden (Hours)
417
0
0
0
0
417
Annual IC Cost Burden (Dollars)
0
0
0
0
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.