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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
NIEHS Grantee
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 and Instruction
2
NIEHS Database Screenshots
Att 3. NIEHS OMB Screenshots.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
0925-0014 Clinical Research: Student Records, HHS/NIH/OD/OIR/OE
FR Citation:
67 FR 60742
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
90 %
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
2,700
0
-1,800
0
0
4,500
Annual IC Time Burden (Hours)
1,350
0
-900
0
0
2,250
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NIEHS Databse Downloadable Form
Att 1 NIEHS Data Collection Form .pdf
03/01/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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