Laying the Foundation: Building Blocks of Music-Based Interventions (NCCIH)

Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 1 Laying the Foundation: Building Blocks of Music-Based Interventions (NCCIH) Form
1 Screenshot - Building Blocks of Music-Based Intervention Registration Form Screenshots - Building Blocks of Music-Based Interventions (2).docx Form
1 Screenshot - Building Blocks of Music-Based Intervention Registration Form Screenshots - Building Blocks of Music-Based Interventions (2).docx Form
Sub Study Request - Building Blocks of Music-Based Interventions.docx sub-study request Building Blocks of Music-Based Interventions IC Document
Sub Study Request - Building Blocks of Music-Based Interventions.docx sub-study request Building Blocks of Music-Based Interventions IC Document

Information Collection (IC) Details

IC Title:	Laying the Foundation: Building Blocks of Music-Based Interventions (NCCIH)	Agency IC Tracking Number:

IC Status: Unchanged

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	1	Screenshot - Building Blocks of Music-Based Interventions	Registration Form Screenshots - Building Blocks of Music-Based Interventions (2).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
sub-study request Building Blocks of Music-Based Interventions	Sub Study Request - Building Blocks of Music-Based Interventions.docx	02/04/2021

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