OMB
.report
Search
NIH-AC Exceptional Financial Need (EFN)
NIH Office of Intramural Training & Education Application (OD)
OMB: 0925-0299
IC ID: 265502
OMB.report
HHS/NIH
OMB 0925-0299
ICR 202404-0925-002
IC 265502
( )
Documents and Forms
Document Name
Document Type
Form 1
NIH-AC Exceptional Financial Need (EFN)
Form
Form 1
NIH-AC Exceptional Financial Need (EFN)
Form
1 Financial Need
A03-NIHAC-UGSP-Exceptional-Financial-Need.pdf
Form
1 Financial Need
A03-NIHAC-UGSP-Exceptional-Financial-Need.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NIH-AC Exceptional Financial Need (EFN)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Financial Need
A03-NIHAC-UGSP-Exceptional-Financial-Need.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
125
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
125
0
0
0
0
125
Annual IC Time Burden (Hours)
21
0
0
0
0
21
Annual IC Cost Burden (Dollars)
0
0
0
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.
