Information Collection

NIH-AC Application

IC 235700 under ICR 202503-0925-001 · OMB 0925-0299.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIH-AC Application	Form
Form 1 Application NIH-AC Application	Form
1 Application A01-NIHAC-Application-v02.pdf	Form
1 Application A01-NIHAC-Application-v02.pdf	Form

IC Title:

NIH-AC Application

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
Form	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Administration Records of Applicants and Awardees of the Intramural Research Training Awards Program

FR Citation: 67 FR 60742

Number of Respondents: 10,000

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	10,000	10,000
Annual IC Time Burden (Hours)	7,500	7,500
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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