Information Collection

Nomination to Serve on Peer Review Activities for the National Institute of Mental Health (NIMH)

IC 257426 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⚠️ Notice: This information collection may be referencing outdated material.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 Registration Nomination to Serve on Peer Review Activities for the National Institute of Mental Health (NIMH)	Form
1 Registration NIMH Peer Reviewer Registration_12.14.22.pdf	Form
0925-0766_Sub-Study Template_NIMH Peer Reviewer Database_12.14.22.docx sub-study for NIMH Peer Reviewer recruit	IC Document
Recruitment Materials_NIMH Peer Reviewer Database_12.14.22.docx recruitment material	IC Document

IC Title:

Nomination to Serve on Peer Review Activities for the National Institute of Mental Health (NIMH)

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: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, 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	500	500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
sub-study for NIMH Peer Reviewer recruit		12/16/2022
recruitment material		12/16/2022

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

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