Information Collection

I-Corps Record of Participation

IC 247943 under ICR 202106-3145-003 · OMB 3145-0258.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0258 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Record of Participation I-Corps Hubs_FINAL.docx	Other-Monitoring
Record of Participation I-Corps Hubs_FINAL.docx	Other-Monitoring
Record of Participation I-Corps Hubs_FINAL_updated 8-2021.docx	Other-Monitoring

IC Title:

I-Corps Record of Participation

Agency IC Tracking Number:

Is this a Common Form? No

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
Other-Monitoring			Record of Participation I-Corps Hubs_FINAL.docx		Yes	Yes	Fillable Fileable
Other-Monitoring			Record of Participation I-Corps Hubs_FINAL_updated 8-2021.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

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	6,000	6,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	18,600	18,600

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.