Information Collection

4th Annual NIH HEAL Initiative Investigator Meeting Assessment Form (OD)

IC 258605 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⚠️ Notice: This information collection may be referencing outdated material.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 4th Annual NIH HEAL Initiative Investigator Meeting Assessment Form (OD)	Form
1 Assessment screenshot Assessment Form Screenshots 2.21.23.pdf	Form
0925-0648 Template HEAL PI Meeting Feedback 2.14.23.docx fast track for 2023 Annual HEAL Investigators Meeting Assessment	IC Document
Invitation for HEAL PI Meeting Assessment 2.14.23.docx invitation for HEAL PI Meeting Assessment	IC Document

IC Title:

4th Annual NIH HEAL Initiative Investigator Meeting Assessment Form (OD)

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	1	Assessment screenshot	Assessment Form Screenshots 2.21.23.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for 2023 Annual HEAL Investigators Meeting Assessment	0925-0648 Template HEAL PI Meeting Feedback 2.14.23.docx	02/16/2023
invitation for HEAL PI Meeting Assessment	Invitation for HEAL PI Meeting Assessment 2.14.23.docx	02/16/2023

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