Information Collection

Eligibility Information from Applicants: Reviewer Information Form for General Reviewer and for Specific Reviewer

IC 259801 under ICR 202504-0970-018 · OMB 0970-0477.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0477 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Fillable Reviewer Information Form for General Reveiwer List wmd.docx	Other-
Fillable Reviewer Information Form for General Reveiwer List wmd.docx	Other-
Fillable Reviewer Information Form for Specific Reviews wmd.docx	Other-
Fillable Reviewer Information Form for Specific Reviews wmd.docx	Other-
GRR Request Form OPRE.docx Reviewer Recruitment Submission Form - OPRE	IC Document
GRR Request Form OPRE.docx Reviewer Recruitment Submission Form - OPRE	IC Document
NOA - GRR Request Form OPRE_4.4.16.pdf NOA - OPRE Generic Grant Reviewer Recruitment Forms	IC Document
NOA - GRR Request Form OPRE_4.4.16.pdf NOA - OPRE Generic Grant Reviewer Recruitment Forms	IC Document

IC Title:

Eligibility Information from Applicants: Reviewer Information Form for General Reviewer and for Specific Reviewer

Agency IC Tracking Number:

OPRE

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
Other-					Yes	Yes	Fillable Fileable
Other-					Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 95

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	95	95
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Reviewer Recruitment Submission Form - OPRE		04/20/2023
NOA - OPRE Generic Grant Reviewer Recruitment Forms		04/20/2023

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

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