OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2023 Health Disparities Research Institute (HDRI) Course Assessment (NIMHD)

IC 259872 under ICR 202103-0925-003 · OMB 0925-0648.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
Survey 2023 Health Disparities Research Institute (HDRI) Course Assessment (NIMHD)		 Form and Instruction
1 Survey
2023 HDRI Course Assessment (4-26-23).docx 		Form and Instruction
2023 FastTrack GenClearance Customer Feedback (4-26-23) Final.docx
Template		IC Document
NIMHD listserv and Social Media Announcements.docx
Announcements		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 0 50 0 0 0
Annual IC Time Burden (Hours) 8 0 8 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Template 04/26/2023
Announcements 04/26/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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