Information Collection

Institutional Certification (Legacy System)

IC 236985 under ICR 202508-0925-001 · OMB 0925-0670.

Documents and Forms

Document Name Document Type
Form 1 Institutional Certification Institutional Certification (Legacy System) Form
1 Institutional Certification Attachment 3 - Institutional Certification.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Institutional Certification (Legacy System)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Institutional Certification	Attachment 3 - Institutional Certification.pdf		Yes	Yes	Fillable Fileable

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: 272	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 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	272	-778	1,050
Annual IC Time Burden (Hours)	136	-652	788
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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