Information Collection

trainees

IC 234604 under ICR 201812-0925-003 · OMB 0925-0759.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0759 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 CCT FFW Screenshot trainees	Form and Instruction
1 CCT FFW Screenshot Attach 1-CCT FFW Screenshots_REV2.pdf	Form and Instruction

IC Title:

trainees

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 and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Administration: Records of Applicants and Awardees of the NIH Intramural Research Training Awards Program HHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60742

Number of Respondents: 200

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	200	200
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.

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