Rachel Pearline Award Nominations (NCI)

Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Rachel Pearline Award Nominations (NCI) Form and Instruction
1 Nomination form Nomination Form (3).docx Form and Instruction
Sub-Study - Rachel Pearline Award Nominations.docx Sub-study for Rachel Pearline Award Nominations IC Document

Information Collection (IC) Details

IC Title:	Rachel Pearline Award Nominations (NCI)	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 and Instruction	1	Nomination form	Nomination Form (3).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	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	20	20
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Sub-study for Rachel Pearline Award Nominations	Sub-Study - Rachel Pearline Award Nominations.docx	10/20/2020

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