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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.