Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medical Clearance Process for Deployment to the Polar Regions New 3300 33600 1075008 Form and Instruction NSF-1700
NSF 1421-A, Medical Risks for NSF-Sponsored Personnel Traveling to Antarctica Removed 0 0 0 Form and Instruction 1421-A
NSF 1421-B, Medical Risks for NSF- Sponsored Personnel Traveling to the Polar Regions - Arctic Removed 0 0 0 Form and Instruction 1421
NSF 1422, Polar Physical Examination - Medical History - Antarctica Removed 0 0 0 Form and Instruction 1422
NSF 1423-A, Polar Physical Examination - Antarctica Removed 0 0 0 Form and Instruction 1423
NSF 1423-B, Polar Physical Examination Removed 0 0 0 Form and Instruction 1423-B
NSF 1423-C, Polar Physical Examination Removed 0 0 0 Form and Instruction 1423-C
NSF 1424, Medical Screening for Blood-Borne Pathogens/Consent for HIV Antibody Blood Test Removed 0 0 0 Form and Instruction 1424
NSF 1425-A, Polar Dental Examination - Antarctica Removed 0 0 0 Form and Instruction 1425-A
NSF 1425-B, Polar Dental Examination - Arctic Removed 0 0 0 Form and Instruction 1425-B
NSF 1427, Authorization for Treatment of Field-Team Member/Participant Under the Age of 18 Years Removed 0 0 0 Form and Instruction 1427
NSF 1428-A, Request for Waiver of NSF/OPP Medical Requirements-Antarctica Removed 0 0 0 Form and Instruction 1428-A
NSF 1428-B, Request for Waiver of NSF/OPP Medical Requirements-Arctic Removed 0 0 0 Form and Instruction 1428-B
NSF 1429-A, Employer Statement of Support for Waiver Request-Antarctic Removed 0 0 0 Form and Instruction 1429-A
NSF 1429-B, Employer Statement of Support for Waiver Request-Arctic Removed 0 0 0 Form and Instruction 1429-B
NSF 1429-I, Individual Statement of Sujpport Removed 0 0 0 Form and Instruction 1429-I
NSF 1457, Important Notice for Participants in the United States Antarctic Program Removed 0 0 0 Form and Instruction 1457
NSF 1458, Personal Information Form Removed 0 0 0 Form and Instruction 1458
NSF 1461, Privacy Notice, Antarctica Removed 0 0 0 Form and Instruction 1461
Form and Instruction NSF 1461
Privacy Notice - Arctic Removed 0 0 0 Other-Privacy Notice for Potential Participants
Privacy Notice, Antarctica Removed 0 0 0 Other-Privacy Notice for Potential Participants
Total burden requested under this ICR: 3300 33600 1075008  
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