NIEHS Superfund Grantee

CareerTrac

Documents and Forms

Document Name Document Type
Form 5 NIEHS Superfund Grantee Form and Instruction
5 Superfund Grantee screenshots V. Screenshots of the NIEHS Superfund (SRP) CareerTrac database.docx Form and Instruction
1 Application Attachment IV - F Screenshots of the NIEHS Superfund (SRP) CareerTrac Database.docx Form

Information Collection (IC) Details

IC Title:	NIEHS Superfund Grantee	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	Attachment IV - F Screenshots of the NIEHS Superfund (SRP) CareerTrac Database.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0014 Clinical Research: Student Records HHS/NIH/OD/OIR/OE	FR Citation: 67 FR 60742

Number of Respondents: 49	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	1,470	-1,680	3,150
Annual IC Time Burden (Hours)	980	-1,120	2,100
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.