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
5
0
Form and Instruction
4
DSTRP Feedback Form
NIH/NHMA Feedback Form
Modified
40
20
0
Form and Instruction
1
Feedback Form
NIH/NMA Academic Career Development Workshop Contact Information and Feedback Form
Modified
1000
83
0
Form and Instruction
1
Form
NIH/NMA Feedback Form
Modified
40
20
0
Form and Instruction
1
Feedback Form
NIH/National Hispanic Medical Association (NHMA) Academic Career Fellow Travel Awards Application
Modified
200
67
0
Form and Instruction
1
Application
NIH/National Medical Association (NMA) Academic Career Fellow Travel Awards Application
Modified
200
67
0
Form and Instruction
1
Application
NMRI Evaluation Form Day 1
Modified
120
20
0
Form and Instruction
1
Evaluation Form
NMRI Evaluation Form Day 2
New
120
20
0
Form and Instruction
1
Evaluation Form
NMRI Evaluation Form Day 3
New
120
20
0
Form and Instruction
1
Evaluation Form
NMRI Mentor-Mentee Agreement Form
Modified
100
50
0
Form and Instruction
1
Agreement Form
NMRI Survey Form
Modified
800
400
0
Form and Instruction
1
Survey
Network of Minority Health Research Investigators (NMRI) Enrollment Form
Modified
200
50
0
Form and Instruction
1
Enrollment Form
STEP-UP Participant Survey form
Modified
2200
183
0
Form and Instruction
1
Survey
STEP-UP Student Feedback Form
Modified
175
44
0
Form and Instruction
2
STEP-UP Student Feedback Form
Short-Term Research Experience Program to Unlock Potential (STEP-UP) Application
Modified
600
600
0
Form and Instruction
1
Application
Total burden requested under this ICR:
5929
1649
0
To view an IC, click on IC Title
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