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NIH/National Medical Association (NMA) Academic Career Development Workshop Contact Information and Feedback Form
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 238926
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202104-0925-001
IC 238926
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:
2024-06-25 - Extension without change of a currently approved collection
2023-08-25 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
NIH/National Medical Association (NMA) Academic Career Development Workshop Contact Information and Feedback Form
Form and Instruction
1 Contact Info and Feedback Form
NIH NMA Academic Career Development Workshop Contact Info and Feedback.pdf
Form and Instruction
1 Contact Info and Feedback Form
NIH NMA Academic Career Development Workshop Contact Info and Feedback.pdf
Form and Instruction
NIDDK-NMA 0925-0648 NIH Generic.docx
Fast-Track Template
IC Document
NIDDK-NMA 0925-0648 NIH Generic.docx
Fast-Track Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NIH/National Medical Association (NMA) Academic Career Development Workshop Contact Information and Feedback Form
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
Contact Info and Feedback Form
NIH NMA Academic Career Development Workshop Contact Info and Feedback.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
1,000
0
0
0
0
1,000
Annual IC Time Burden (Hours)
83
0
0
0
0
83
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast-Track Template
NIDDK-NMA 0925-0648 NIH Generic.docx
12/12/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.