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Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)
Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)
OMB: 0925-0766
IC ID: 254438
OMB.report
HHS/NIH
OMB 0925-0766
ICR 202301-0925-002
IC 254438
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:
2023-07-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)
Form
Form 1
Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)
Form
1 Community Advisory Board Member Survey
Community Advisory Board Member Survey_CS.pdf
Form
1 Community Advisory Board Member Survey
Community Advisory Board Member Survey_CS.pdf
Form
2 Faculty Survey
Faculty Survey_CS.pdf
Form
2 Faculty Survey
Faculty Survey_CS.pdf
Form
3 Institutional Leaders Survey
Institutional Leaders Survey_CS.pdf
Form
3 Institutional Leaders Survey
Institutional Leaders Survey_CS.pdf
Form
4 RCMI Leadership Survey
RCMI Leadership Survey_CS.pdf
Form
4 RCMI Leadership Survey
RCMI Leadership Survey_CS.pdf
Form
5 Scientific Advisory Committee Members Survey
Scientific Advisory Committee Members Survey_CS.pdf
Form
5 Scientific Advisory Committee Members Survey
Scientific Advisory Committee Members Survey_CS.pdf
Form
NIH Citizen Science and Crowdsourcing Generic Clearance Form - RCMI Surveys_6.9.2022.docx
sub-study for Assessment of RCMI Program
IC Document
NIH Citizen Science and Crowdsourcing Generic Clearance Form - RCMI Surveys_6.9.2022.docx
sub-study for Assessment of RCMI Program
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Surveys to Support Assessment of Research Centers in Minority Institutions (RCMI) Program (NIMHD)
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
Community Advisory Board Member Survey
Community Advisory Board Member Survey_CS.pdf
Yes
Yes
Fillable Fileable
Form
2
Faculty Survey
Faculty Survey_CS.pdf
Yes
Yes
Fillable Fileable
Form
3
Institutional Leaders Survey
Institutional Leaders Survey_CS.pdf
Yes
Yes
Fillable Fileable
Form
4
RCMI Leadership Survey
RCMI Leadership Survey_CS.pdf
Yes
Yes
Fillable Fileable
Form
5
Scientific Advisory Committee Members Survey
Scientific Advisory Committee Members Survey_CS.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
977
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
977
0
0
0
0
977
Annual IC Time Burden (Hours)
306
0
0
0
0
306
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
sub-study for Assessment of RCMI Program
NIH Citizen Science and Crowdsourcing Generic Clearance Form - RCMI Surveys_6.9.2022.docx
06/29/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.