Information Collection

Institutional Certification Investigator filing out

IC 236985 under ICR 202501-0925-001 · OMB 0925-0670.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0670 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Institutional Certification Investigator filing out	Form and Instruction
2 Institutional Certification Investigator filling out Attachment 2 2022 - Institutional Certification updates (1).pptx	Form and Instruction

IC Title:

Institutional Certification Investigator filing out

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Extramural Awards and Chartered Advisory Committees (IMPAC 2), Contract Information (DCIS), and Cooperative Agreement Information

FR Citation: 67 FR 60751

Number of Respondents: 1,050

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,050	1,050
Annual IC Time Burden (Hours)	788	788
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.

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