View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Support Assessment of the NIMHD Research Centers in Minority Institutions (RCMI) Program (NIMHD)	Agency IC Tracking Number:

IC Status: New

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	1	Focus Group guide	RCMI Program Retrospective Evaluation Focus Groups Guides _Final for OMB_.docx		No		Paper Only
Form and Instruction	2	Interview Guide	RCMI Program Retrospective Evaluation Interview Guides_Final for OMB.docx		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 130	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	130	0	130	0	0	0
Annual IC Time Burden (Hours)	178	0	178	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for Support Assessment of RCMI Program	RCMI OMB Fast Track Form_Interviews Focus Groups Combined.docx	01/05/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.