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Foreign Assurance Renewal and New
Assurance (Interinstitutional, Foreign, and Domestic) and Annual Report (Office of Director)
OMB: 0925-0765
IC ID: 237703
OMB.report
HHS/NIH
OMB 0925-0765
ICR 202002-0925-004
IC 237703
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0765 can be found here:
2023-12-06 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 2
Foreign Assurance Renewal and New
Form and Instruction
2 Foreign Assurance
Foreign Assurance.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Foreign Assurance Renewal and New
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
2
Foreign Assurance
Foreign Assurance.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
60
0
0
0
0
60
Annual IC Time Burden (Hours)
60
0
0
0
0
60
Annual IC Cost Burden (Dollars)
0
0
0
0
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.