Information Collection

NOURISH: Autoimmunity Challenge Post-completion Survey (OD) (Individual)

IC 283205 under ICR 202406-0925-001 · OMB 0925-0648.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Survey 1 NOURISH: Autoimmunity Challenge Post-completion Survey (OD) (Individual)	Form and Instruction
Survey 1 NOURISH Survey OD.docx	Form and Instruction
0925-0648 OD ORWH OADR NOURISH (Individual).docx 0925-0648 OD ORWH OADR NOURISH (Individual)	IC Document
NOURISH Survey Email.docx NOURISH Survey Email	IC Document

IC Title:

Agency IC Tracking Number:

N/A

IC Status: New

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 and Instruction	Survey				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0925-0648 OD ORWH OADR NOURISH (Individual)		10/21/2026
NOURISH Survey Email		10/21/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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