PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Diversity Summer Research Training Program (DSTRP) Feedback Form
Modified
14
7
0
Form and Instruction
4
DSTRP Feedback Form
NIH/NHMA Feedback Form
Modified
40
20
0
Form and Instruction
13
NIH NHMA Feedback Form
NIH/NMA Academic Career Development Workshop Contact Information and Feedback Form
New
1000
83
0
Form and Instruction
11
NMA Academic Career Development Workshop Contact Info and Feedback
NIH/NMA Feedback Form
Modified
40
20
0
Form and Instruction
10
NIH NMA Feedbacl Form
NIH/National Hispanic Medical Association (NHMA) Academic Career Fellow Travel Awards Application
Modified
200
67
0
Form and Instruction
12
NIH NHMA Academic Career Fellow Travel Awards Application
NIH/National Medical Association (NMA) Academic Career Fellow Travel Awards Application
Modified
200
67
0
Form and Instruction
9
NIH NMA Academic Career Fellow Travel Awards Application
NMRI Evaluation Form
Modified
120
60
0
Form and Instruction
6
NMRI Evaluation Form
NMRI Mentor-Mentee Agreement Form
Modified
100
50
0
Form and Instruction
8
NMRI Mentor-Mentee Agreement Form
NMRI Survey Form
Modified
800
400
0
Form and Instruction
7
NMRI Survey Form
Network of Minority Health Research Investigators (NMRI) Enrollment Form
Modified
200
50
0
Form and Instruction
5
Network of Minority Health Research Investigators (NMRI) Enrollment Form
STEP-UP Participant Survey form
New
2200
183
0
Form and Instruction
3
STEP-UP Participant survey form
STEP-UP Student Feedback Form
Modified
200
50
0
Form and Instruction
2
STEP-UP Student Feedback Form
Short-Term Research Experience for Underrepresented Persons (STEP-UP) Application
Unchanged
2000
1500
0
Form and Instruction
1
Short-Term Research Experience for Underrepresented Persons (STEP-UP) Application
Total burden requested under this ICR:
7114
2557
0
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