NIH-AC Application

NIH Office of Intramural Training & Education Application (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0299 can be found here:

Documents and Forms

Document Name Document Type
Form 1 NIH-AC Application Form
1 Application A01-NIHAC-Application-v02.pdf Form
1 Application A01-NIHAC-Application-v02.pdf Form

Information Collection (IC) Details

IC Title:	NIH-AC Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Application	A01-NIHAC-Application-v02.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Administration Records of Applicants and Awardees of the Intramural Research Training Awards Program	FR Citation: 67 FR 60742

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,000	9,975	25
Annual IC Time Burden (Hours)	7,500	7,496	4
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.