Information Collection

DERT Extramural Grantee Data Collection Survey

IC 236363 under ICR 202112-2025-001CF · OMB 0925-0757.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIEHS DERT Grantee Survey DERT Extramural Grantee Data Collection Survey	Form
1 NIEHS DERT Grantee Survey Attachment A 2018-2021 NIEHS DERT Grantee Survey.docx	Form

IC Title:

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	100	100
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.

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