Network of Minority Health Research Investigators (NMRI) Enrollment Form

Office of Minority Health Research Coordination (OMHRC) Research Training and Mentor Programs Applications (NIDDK)

Documents and Forms

Document Name Document Type
Form 1 Network of Minority Health Research Investigators (NMRI) Enrollment Form Form and Instruction
Form 1 Network of Minority Health Research Investigators (NMRI) Enrollment Form Form and Instruction
1 Enrollment Form (5) Network of Minority Health Research Investigators (NMRI) Enrollment Form.pdf Form and Instruction
1 Enrollment Form (5) Network of Minority Health Research Investigators (NMRI) Enrollment Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Network of Minority Health Research Investigators (NMRI) Enrollment Form	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 and Instruction	1	Enrollment Form	(5) Network of Minority Health Research Investigators (NMRI) Enrollment Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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

Number of Respondents: 200	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
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.