Independent Researcher Listing Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0054 can be found here:

Documents and Forms

Document Name Document Type
Form NA Form 14115 Independent Researcher Listing Application Form and Instruction
NA Form 14115 Independent Researcher Listing Application na-14115__2018FINAL.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Independent Researcher Listing Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	NA Form 14115	Independent Researcher Listing Application	na-14115__2018FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title: NARA 1	FR Citation: 78 FR 77256

Number of Respondents: 458	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	458	458
Annual IC Time Burden (Hours)	76	76
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.