Rachel Pearline Award Nomination Form (NCI)

Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Rachel Pearline Award Nomination Form (NCI) Form and Instruction
Form 1 Rachel Pearline Award Nomination Form (NCI) Form and Instruction
1 ASGCR 2023 Nominee Form ASGCR 2023 Pearline Award Nominee Form.pdf Form and Instruction
1 ASGCR 2023 Nominee Form ASGCR 2023 Pearline Award Nominee Form.pdf Form and Instruction
Sub-Study - Pearline 2023 FINAL.docx sub-study for ASGRC 2023 Nominees IC Document
Sub-Study - Pearline 2023 FINAL.docx sub-study for ASGRC 2023 Nominees IC Document
Pearline Award_Sample Email.docx emil invite IC Document
Pearline Award_Sample Email.docx emil invite IC Document

Information Collection (IC) Details

IC Title:	Rachel Pearline Award Nomination Form (NCI)	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	ASGCR 2023 Nominee Form	ASGCR 2023 Pearline Award Nominee Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
sub-study for ASGRC 2023 Nominees	Sub-Study - Pearline 2023 FINAL.docx	09/12/2022
emil invite	Pearline Award_Sample Email.docx	09/12/2022

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