Information Collection

NIH Special Volunteer Agreement

IC 229153 under ICR 201711-0925-005 · OMB 0925-0177.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0177 can be found here:

Documents and Forms

Document Name Document Type
Form 2 NIH Special Volunteer Agreement Form
2 NIH Special Volunteer Agreement SSA Attachment 2 - NIH SV Agreement (1 page).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NIH Special Volunteer Agreement	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	2	NIH Special Volunteer Agreement	SSA Attachment 2 - NIH SV Agreement (1 page).pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Personnel: Guest Researchers, Special Volunteers, and Scientist Emeriti, HHS/NIH/OHRM	FR Citation: 67 FR 60742

Number of Respondents: 2,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,600	2,600
Annual IC Time Burden (Hours)	217	217
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.