Information Collection

5th Annual NIH HEAL Investigator Meeting – Travel Award Nomination Form (OD)

IC 261115 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⚠️ Notice: This information collection may be referencing outdated material.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 5th Annual NIH HEAL Investigator Meeting – Travel Award Nomination Form (OD)	Form and Instruction
1 Nomination Form Screenshots - Travel Award Nomination Form.pdf	Form and Instruction
Template 0925-0766 NIH HEAL Initiative - Travel Award Nomination Form.pdf Template	IC Document
5th Annual HEAL Investigator Meeting Announcement.pdf Meeting Announcement	IC Document

IC Title:

5th Annual NIH HEAL Investigator Meeting â Travel Award 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 and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	50	50
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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