Information Collection

Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form (NINDS)

IC 250282 under ICR 202109-0925-004 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2021 IPRCC Nomination form Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form (NINDS)	Form
1 2021 IPRCC Nomination form 2021-IPRCC-Nomination Form (1).pdf	Form
generic template_IPRCC nomination form 2021.docx Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form	IC Document
Announcement of IPRCC nominations request_email draft.docx Annoucement invitation	IC Document

IC Title:

Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form (NINDS)

Agency IC Tracking Number:

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
Form	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	40	40
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form		11/09/2021
Annoucement invitation		11/09/2021

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

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