Information Collection

NRMN Annual follow-up Surveys NRMN 2020 mentee Cohort

IC 239841 under ICR 202002-0925-001 · OMB 0925-0747.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0747 can be found here:

Documents and Forms

Document Name Document Type
Form 8 NRMN Annual follow-up Surveys NRMN 2020 mentee Cohort Form and Instruction
8 NRMN Annual Follow-up Survey Attachment 17_NRMN_Annual_Follow-up_Survey.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRMN Annual follow-up Surveys NRMN 2020 mentee Cohort	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 and Instruction	8	NRMN Annual Follow-up Survey	Attachment 17_NRMN_Annual_Follow-up_Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	625	625
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.