Information Collection

Special Volunteer and Guest Research Assignment

IC 229152 under ICR 202512-0925-003 · OMB 0925-0177.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Special Volunteer and Guest Research Assignment	Form
Form 1 Assignment Special Volunteer and Guest Research Assignment	Form
1 Assignment SSA Attachment 1 Special Volunteer and Guest Researcher Assignment.pdf	Form
1 Assignment SSA Attachment 1 Special Volunteer and Guest Researcher Assignment.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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: Personnel: Guest Researchers, Special Volunteers, and Scientists Emeriti, HHS/NIH/OHRM

FR Citation: 67 FR 60742

Number of Respondents: 2,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,600	4,600
Annual IC Time Burden (Hours)	460	460
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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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