OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Renewal Extramural Applicants

IC 237382 under ICR 202505-0925-002 · OMB 0925-0361.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
Renewal Extramural Applicants		 Form and Instruction
Form 1
Applicant Renewal Extramural Applicants		 Form and Instruction
1 Applicant
Applicant 07-27-2022.pdf 		Form and Instruction
1 Applicant
Applicant 07-27-2022.pdf 		Form and Instruction
Eligibilty - HD with burden statement.pdf
Eligibility Health Disparities (HD)		IC Document
Eligibilty - HD with burden statement.pdf
Eligibility Health Disparities (HD)		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 1 Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 0 0 0 1,000
Annual IC Time Burden (Hours) 8,000 0 0 0 0 8,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Eligibility Health Disparities (HD) 08/15/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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