UGSP - Deferment Form - Completed by UGSP Scholar

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⚠️ Notice: This information collection may be referencing outdated material.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 23 UGSP - Deferment Form - Completed by UGSP Scholar Form and Instruction
23 UGSP Deferment B23-UGSP-Deferment.pdf Form and Instruction
23 UGSP Deferment B23-UGSP-Deferment.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	UGSP - Deferment Form - Completed by UGSP Scholar	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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 and Instruction	23	UGSP Deferment	B23-UGSP-Deferment.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: • 09-25-0158 – Administration Records of Applicants and Awardees of the Intramural Research Training Awards Program	FR Citation: 67 FR 60742

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-25	25
Annual IC Time Burden (Hours)	-1	1
Annual IC Cost Burden (Dollars)	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.