Self-Nomination for ME/CFS Research Roadmap Working Group (NINDS)

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⚠️ Notice: This information collection may be referencing outdated material.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 Self-Nomination for ME/CFS Research Roadmap Working Group (NINDS) Form and Instruction
Form 1 Self-Nomination for ME/CFS Research Roadmap Working Group (NINDS) Form and Instruction
1 Survey Self-Nomination for ME_CFS Research Roadmap Working Group (Preview).pdf Form and Instruction
1 Survey Self-Nomination for ME_CFS Research Roadmap Working Group (Preview).pdf Form and Instruction
MECFS PRA Clearance Form-SubstudyTemplate_110822 (2).docx Template IC Document
MECFS PRA Clearance Form-SubstudyTemplate_110822 (2).docx Template IC Document
Open Nomination email ME CFS 110822 (3).docx Recruitment Materials IC Document
Open Nomination email ME CFS 110822 (3).docx Recruitment Materials IC Document

Information Collection (IC) Details

IC Title:	Self-Nomination for ME/CFS Research Roadmap Working Group (NINDS)	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	Survey	Self-Nomination for ME_CFS Research Roadmap Working Group (Preview).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	100
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template	MECFS PRA Clearance Form-SubstudyTemplate_110822 (2).docx	11/17/2022
Recruitment Materials	Open Nomination email ME CFS 110822 (3).docx	11/17/2022

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