Information Collection

32105 M1 NIH-OAR ClinicalInfo_Survey_9.18.24

IC 272742 under ICR 202408-1090-001 · OMB 1090-0008.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 32105 M1NIH-OAR Cl 32105 M1 NIH-OAR ClinicalInfo_Survey_9.18.24	Form and Instruction
32105 M1NIH-OAR Cl NIH-OAR ClinicalInfo_Survey_9.18.24 NIH-OAR ClinicalInfo_Survey_9.18.24.xlsx	Form and Instruction
Generic Clearance NIH OAR ClinicalInfo_8.19.24 (1).pdf Generic Clearance NIH OAR ClinicalInfo_8.19.24 (1)	IC Document

IC Title:

Agency IC Tracking Number:

32105 M1

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	32105 M1NIH-OAR ClinicalInfo_Survey_9.18.24	NIH-OAR ClinicalInfo_Survey_9.18.24	NIH-OAR ClinicalInfo_Survey_9.18.24.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

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	1,200	1,200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance NIH OAR ClinicalInfo_8.19.24 (1)	Generic Clearance NIH OAR ClinicalInfo_8.19.24 (1).pdf	12/02/2024

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