Information Collection

NIH HEAL Initiative 2024 Director's Awards Nomination Form (OD)

IC 261114 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⚠️ Notice: This information collection may be referencing outdated material.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 Nomination Form NIH HEAL Initiative 2024 Director's Awards Nomination Form (OD)	Form
1 Nomination Form Screenshots - Director's Awards Nomination Form.pdf	Form
Template OMB# 0925-0766 NIH HEAL Initiative - Director's Award Nomination Form.pdf Template	IC Document
5th Annual HEAL Investigator Meeting Announcement.pdf Meeting Announcement	IC Document

IC Title:

NIH HEAL Initiative 2024 Director's Awards Nomination Form (OD)

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	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template		07/18/2023
Meeting Announcement		07/18/2023

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

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