Information Collection

2020 Health Disparities Research Institute (HDRI)

IC 238748 under ICR 202010-0925-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 1 2020 Health Disparities Research Institute (HDRI) Form and Instruction
1 HDRI Application HDRI application Final.docx Form and Instruction
HDRI Sub-Study Template NIH Wide Generic 2020 HDRI.doc HDRI sub-study IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2020 Health Disparities Research Institute (HDRI)	Agency IC Tracking Number:

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	1	HDRI Application	HDRI application Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
HDRI sub-study	HDRI Sub-Study Template NIH Wide Generic 2020 HDRI.doc	12/02/2019

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