Information Collection

BUILD Institutional Research & Program Data Requests

IC 221961 under ICR 201709-0925-003 · OMB 0925-0747.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0747 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9 BUILD Institutional Research & Program Data Requests	Form and Instruction
9 BUILD Institutional Records and Program Data Requests Attachment_25_-_BUILD_Institutional_Records_and_Program_Data_Requests.pdf	Form and Instruction

IC Title:

BUILD Institutional Research & Program Data Requests

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	9	BUILD Institutional Records and Program Data Requests	Attachment_25_-_BUILD_Institutional_Records_and_Program_Data_Requests.pdf		Yes	Yes	Fillable Fileable

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: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	480	480
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.