Information Collection

FIC Grantee

IC 43635 under ICR 202405-0925-001 · OMB 0925-0568.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 FIC Grantee	Form and Instruction
1 FIC screenshots I. Screenshots of the FIC CareerTrac database.docx	Form and Instruction
1 Application Attachment I - A Screenshots of the FIC and NCI D43 CareerTrac Database (4).docx	Form

IC Title:

FIC Grantee

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	1	Application	Attachment I - A Screenshots of the FIC and NCI D43 CareerTrac Database (4).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 0925-0014 Clinical Research: Student Records, HHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60742

Number of Respondents: 90

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	1,200	1,200
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.