Registration Questions for AI-Ethics Micro Lab Participation

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⚠️ Notice: This information collection may be referencing outdated material.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 Questions for AI-Ethics Micro Lab Participation Form and Instruction
1 MicroLab Registration AI _ Ethics Microlab Registration_2021122.pdf Form and Instruction
1 MicroLab Registration AI _ Ethics Microlab Registration_2021122.pdf Form and Instruction
Mico Lab Registration Template.docx Micro Lab Registration Template IC Document
Mico Lab Registration Template.docx Micro Lab Registration Template IC Document
Recruitment Materials AI Ethics Micro Lab Invitation Language-20211122.docx Recruitment Materials IC Document
Recruitment Materials AI Ethics Micro Lab Invitation Language-20211122.docx Recruitment Materials IC Document

Information Collection (IC) Details

IC Title:	Registration Questions for AI-Ethics Micro Lab Participation	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 and Instruction	1	MicroLab Registration	AI _ Ethics Microlab Registration_2021122.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Micro Lab Registration Template	Mico Lab Registration Template.docx	11/23/2021
Recruitment Materials	Recruitment Materials AI Ethics Micro Lab Invitation Language-20211122.docx	11/23/2021

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