Information Collection

Self-Nomination for Funding Opportunity Special Emphasis Panels Managed by NINDS

IC 258618 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Self-Nomination for Funding Opportunity Special Emphasis Panels Managed by NINDS	Form and Instruction
1 Self Nomination Form screenshot SEP self nom form.docx	Form and Instruction
2 SEP Nominations 2023 ALS RFA-SEP-Nominations_Form_final.docx	Form and Instruction
SubstudyTemplate_Self-Nomination_Lived Experience Reviewer_0925-0766_final (2).docx Template	IC Document
2023 LivedExp-Self-Nom-SEPreview_correspondence (1).docx Email	IC Document

IC Title:

Self-Nomination for Funding Opportunity Special Emphasis Panels Managed by NINDS

Agency IC Tracking Number:

IC Status: New

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 and Instruction	1	Self Nomination Form	screenshot SEP self nom form.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	SEP Nominations	2023 ALS RFA-SEP-Nominations_Form_final.docx		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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
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

table that charts IC Documents
Title	Document	Date Uploaded
Template	SubstudyTemplate_Self-Nomination_Lived Experience Reviewer_0925-0766_final (2).docx	02/17/2023
Email	2023 LivedExp-Self-Nom-SEPreview_correspondence (1).docx	02/17/2023

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