Information Collection

NIH Form 2890-Request for Human Embryonic Stem Cell

IC 190155 under ICR 202209-0925-001 · OMB 0925-0601.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIH Form 2890-Request for Human Embryonic Stem Cell	Form
Instructions for Completing NIH Form 2890 2022.pdf	Instruction
Instructions for Completing NIH Form 2890 2022.pdf	Instruction
1 Form 2890 NIH Form 2890 Request for Human Embryonic Stem Cell Line to be Approved for Use in NIH Funded Research_2022 - Copy.pdf	Form
1 Form 2890 NIH Form 2890 Request for Human Embryonic Stem Cell Line to be Approved for Use in NIH Funded Research_2022 - Copy.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	1	Form 2890	NIH Form 2890 Request for Human Embryonic Stem Cell Line to be Approved for Use in NIH Funded Research_2022 - Copy.pdf		Yes	Yes	Fillable Fileable
Instruction			Instructions for Completing NIH Form 2890 2022.pdf		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 09-25-0225; Electronic Research Administration (eRA) Records, HHS/NIH/OD/OER

FR Citation: 67 FR 60742

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	255	255
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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