Information Collection

Support Assessment of the NIMHD Research Centers in Minority Institutions (RCMI) Program (NIMHD)

IC 251016 under ICR 202307-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Support Assessment of the NIMHD Research Centers in Minority Institutions (RCMI) Program (NIMHD)	Form and Instruction
1 Focus Group guide RCMI Program Retrospective Evaluation Focus Groups Guides _Final for OMB_.docx	Form and Instruction
2 Interview Guide RCMI Program Retrospective Evaluation Interview Guides_Final for OMB.docx	Form and Instruction
RCMI OMB Fast Track Form_Interviews Focus Groups Combined.docx fast track for Support Assessment of RCMI Program	IC Document

IC Title:

Support Assessment of the NIMHD Research Centers in Minority Institutions (RCMI) Program (NIMHD)

Agency IC Tracking Number:

IC Status: Unchanged

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	Focus Group guide	RCMI Program Retrospective Evaluation Focus Groups Guides _Final for OMB_.docx		No		Paper Only
Form and Instruction	2	Interview Guide	RCMI Program Retrospective Evaluation Interview Guides_Final for OMB.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	178	178
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for Support Assessment of RCMI Program	RCMI OMB Fast Track Form_Interviews Focus Groups Combined.docx	01/05/2022

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