Information Collection

Undergraduate Scholarship Program - Deferment Form Completed by Scholar

IC 235987 under ICR 202102-0925-001 · OMB 0925-0299.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0299 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 23 Undergraduate Scholarship Program - Deferment Form Completed by Scholar	Form and Instruction
23 UGSP Deferment 23-OMB2019-UGSP-Deferment.pdf	Form and Instruction
23 UGSP Deferment 23-OMB2019-UGSP-Deferment.pdf	Form and Instruction

IC Title:

Undergraduate Scholarship Program - Deferment Form Completed by Scholar

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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	23	UGSP Deferment	23-OMB2019-UGSP-Deferment.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Administration Records of Applicants and Awardees of the Intramural Research Training Awards Program

FR Citation: 67 FR 60742

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-10	10
Annual IC Time Burden (Hours)	-1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.