Information Collection

Curing the Epilepsies 2020: Setting Research Priorities Early Career Investigators Travel Awards Form

IC 238887 under ICR 202201-0925-002 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Curing the Epilepsies 2020: Setting Research Priorities Early Career Investigators Travel Awards Form	Form and Instruction
1 screenshot of Travel Award Form for Curing the Epilepsie Screenshots of Travel Award Form_Curing the Epilepsies 2020.pdf	Form and Instruction
1 screenshot of Travel Award Form for Curing the Epilepsie Screenshots of Travel Award Form_Curing the Epilepsies 2020.pdf	Form and Instruction
Sub-Study Template Curing Epilepsies 2020_Submitted.doc Sub-study template Curing Epilepsies 2020	IC Document
Sub-Study Template Curing Epilepsies 2020_Submitted.doc Sub-study template Curing Epilepsies 2020	IC Document

IC Title:

Curing the Epilepsies 2020: Setting Research Priorities Early Career Investigators Travel Awards Form

Agency IC Tracking Number:

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 and Instruction	1	screenshot of Travel Award Form for Curing the Epilepsies 2020	Screenshots of Travel Award Form_Curing the Epilepsies 2020.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
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
Sub-study template Curing Epilepsies 2020	Sub-Study Template Curing Epilepsies 2020_Submitted.doc	12/11/2019

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