Information Collection

Butler Williams Scholars Program (BWSP) (NIA)

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Butler Williams Scholars Program (BWSP) (NIA)	Agency IC Tracking Number:

IC Status: New

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	Registration	BW Registration form.pdf		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 %

	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

Title	Document	Date Uploaded
Template	Template BWSP 2026.docx	02/19/2026
Email Correspondence	BWSP application recipt confirmation email.docx	02/19/2026
Announcement	BWSP announcement.docx	02/19/2026

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

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