Information Collection

NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (Federal) (NIMH)

IC 243925 under ICR 202002-0925-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (Federal) (NIMH)	Form
1 NIMH and NIMHD Virtual Workshop Registration form NIHM and NIMHD Virtual Workshop Registration Form.docx	Form
NIH Generic 0740 Template_NIMH and NIMHD Disparities Workshop Registration (Federal).docx NIMH and NIMHD Virtual Disparities Workshop	IC Document

IC Title:

NIMH and NIMHD Virtual Workshop on Mental Health Disparities Registration (Federal) (NIMH)

Agency IC Tracking Number:

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	1	NIMH and NIMHD Virtual Workshop Registration form	NIHM and NIMHD Virtual Workshop Registration Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIMH and NIMHD Virtual Disparities Workshop	NIH Generic 0740 Template_NIMH and NIMHD Disparities Workshop Registration (Federal).docx	10/07/2020

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