Information Collection

Butler Williams Scholars Program (BWSP) (NIA)

IC 279125 under ICR 202509-0925-001 · OMB 0925-0740.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Registration Butler Williams Scholars Program (BWSP) (NIA)	Form
1 Registration BW Registration form.pdf	Form
Template BWSP 2026.docx Template	IC Document
BWSP application recipt confirmation email.docx Email Correspondence	IC Document
BWSP announcement.docx Announcement	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 275

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	275	275
Annual IC Time Burden (Hours)	92	92
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

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