Registration for the Advancing Environmental Health Equity through Implementation Science Workshop (NIEHS)

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⚠️ Notice: This information collection may be referencing outdated material.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 Registration for the Advancing Environmental Health Equity through Implementation Science Workshop (NIEHS) Form
1 Zoom registration page Zoom Registration Page Screenshot (1).docx Form
1 Zoom registration page Zoom Registration Page Screenshot (1).docx Form
Generic Registration AdvHlthEquityIS Workshop -2021-11-01.docx Registration for the Advancing Environmental Health Equity through Implementation Science Workshop IC Document
Generic Registration AdvHlthEquityIS Workshop -2021-11-01.docx Registration for the Advancing Environmental Health Equity through Implementation Science Workshop IC Document
Publicity Email Advancint Envir Hlth equity workshop.pdf email invite IC Document
Publicity Email Advancint Envir Hlth equity workshop.pdf email invite IC Document

Information Collection (IC) Details

IC Title:	Registration for the Advancing Environmental Health Equity through Implementation Science Workshop (NIEHS)	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	Zoom registration page	Zoom Registration Page Screenshot (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	500	500
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Registration for the Advancing Environmental Health Equity through Implementation Science Workshop	Generic Registration AdvHlthEquityIS Workshop -2021-11-01.docx	11/01/2021
email invite	Publicity Email Advancint Envir Hlth equity workshop.pdf	11/01/2021

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