Information Collection

Biological Sketch Reinstatement

IC 261621 under ICR 202308-0906-001 · OMB 0906-0048.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Biological Sketch Reinstatement	Form and Instruction
1 Biosketch Reinstatement HRSA MCHB Biosketch Reinstatement _Final.docx	Form and Instruction
1 Biosketch Reinstatement HRSA MCHB Biosketch Reinstatement _Final.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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	Biosketch Reinstatement	HRSA MCHB Biosketch Reinstatement _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: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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