Information Collection

Center for Global Heath (CGH) Post-baccalaureate Fellowship Program (NCI)

IC 241989 under ICR 202004-0925-001 · OMB 0925-0761.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0761 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Center for Global Heath (CGH) Post-baccalaureate Fellowship Program (NCI)	Form and Instruction
1 Application CGH Postbac Fellowship Attachment 1-Application CGH Postbac Fellowship (2).docx	Form and Instruction
Mini SSA CGH FINAL.docx Mini SSA CGH	IC Document

IC Title:

Center for Global Heath (CGH) Post-baccalaureate Fellowship Program (NCI)

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 and Instruction	1	Application CGH Postbac Fellowship	Attachment 1-Application CGH Postbac Fellowship (2).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	10	10
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA CGH	Mini SSA CGH FINAL.docx	05/27/2020

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