Information Collection Request

International Research Fellowship Award Program (NIDA)

ICR 202204-0925-003 · OMB 0925-0733 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 Form-- Mentor Information and Agreement Form and Instruction Modified Available
Form 2 Mentor Information and Agreement Form and Instruction Modified Repair queued
Form 1 Application Form and Instruction Modified Available
Form 1 Application form Form and Instruction Modified Repair queued
Attachment 3 - PIA Form.pdf Supplementary Document Uploaded 2022-05-04 Repair queued
Attachment 4 - NIH Privacy Act Officer Memo.pdf Supplementary Document Uploaded 2022-05-03 Repair queued
pub 30-day FRN 2022-08779.pdf Supplementary Document Uploaded 2022-04-28 Repair queued
Support_StatementA International.docx Supporting Statement A Uploaded 2022-04-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234902 Mentor Information and Agreement Form and Instruction ModifiedForm-- Mentor Information and Agreement
234902 Mentor Information and Agreement Form and Instruction Modified
234901 Application form Form and Instruction ModifiedApplication
234901 Application form Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2025 36 Months From Approved 07/31/2022
50 0 90
33 0 60
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Application form 1
Mentor Information and Agreement 2

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50 90 0 -40 0 0
Annual Time Burden (Hours) 33 60 0 -27 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No