Information Collection

T32 Program Assessment (NICHD)

IC 243272 under ICR 201711-0925-003 · OMB 0925-0643.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 T32 Program Assessment (NICHD)	Form and Instruction
1 T32 survey 0925-0643_Substudy_T32 program_survey.pdf	Form and Instruction
0925-0643_Substudy_T32 program (1).docx fast track sub-study T32 survey	IC Document
0925-0643_Substudy_T32 program_email.docx email	IC Document
0925-0643_Substudy_T32 program_Privacy memo.pdf Privacy Act memo	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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	1	T32 survey	0925-0643_Substudy_T32 program_survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track sub-study T32 survey	0925-0643_Substudy_T32 program (1).docx	08/20/2020
email	0925-0643_Substudy_T32 program_email.docx	08/20/2020
Privacy Act memo	0925-0643_Substudy_T32 program_Privacy memo.pdf	08/20/2020

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