Information Collection

Application and registration information collection for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on June 10-12, 2020 at the Lister Hill Auditorium (NLM)

IC 239250 under ICR 201910-0925-001 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Application and registration information collection for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on June 10-12, 2020 at the Lister Hill Auditorium (NLM) Form
1 2020 ODS DSRP registration application form ODS_DSRP_registration Application_2020.docx Form
OD-ODS_DSRP__application_OMB0925-0740_2020reviewed.doc OD-DSRP application request IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application and registration information collection for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on June 10-12, 2020 at the Lister Hill Auditorium (NLM)	Agency IC Tracking Number:

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	1	2020 ODS DSRP registration application form	ODS_DSRP_registration Application_2020.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 105	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	105	105
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OD-DSRP application request	OD-ODS_DSRP__application_OMB0925-0740_2020reviewed.doc	01/13/2020

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