NYCALC Student Medical Information (Form 3-2525)

Native Youth Community Adaptation and Leadership Congress

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0176 can be found here:

Documents and Forms

Document Name Document Type
Form 3-2525 NYCALC Student Medical Information (Form 3-2525) Form
3-2525 Native Youth Community Adaptation and Leadership Congres Form 3-2525 NYCALC Student Medical Information Form w-PRA.docx www.nycalc.org Form
3-2525 Native Youth Community Adaptation and Leadership Congres Form 3-2525 NYCALC Student Medical Information Form w-PRA.docx www.nycalc.org Form

Information Collection (IC) Details

IC Title:	NYCALC Student Medical Information (Form 3-2525)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	3-2525	Native Youth Community Adaptation and Leadership Congress - Student Medical Information	Form 3-2525 NYCALC Student Medical Information Form w-PRA.docx	https://www.nycalc.org	Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: DOI-16, DOI Learn (Department-wide Learning Management System)	FR Citation: 83 FR 50682

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.