Information Collection

Audit Scheduling Form (Attachment D01)

IC 229993 under ICR 202111-0925-002 · OMB 0925-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0753 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 84 Audit Scheduling Form (Attachment D01)	Form
84 Audit Schedule CTMBAIS_Attachment_D01_Aud_Sched.pdf	Form
84 Audit Schedule CTMBAIS_Attachment_D01_Aud_Sched.pdf	Form

IC Title:

Audit Scheduling Form (Attachment D01)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	84	Audit Schedule	CTMBAIS_Attachment_D01_Aud_Sched.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Clinical, Basic and Population-based Research of the National Institutes of Health (NIH)

FR Citation: 67 FR 60742

Number of Respondents: 152

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	Previously Approved
Annual Number of Responses for this IC	760	760
Annual IC Time Burden (Hours)	266	266
Annual IC Cost Burden (Dollars)	0	0

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.