View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	5th Annual NIH HEAL Investigator Meeting – Travel Award Nomination Form (OD)	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	Nomination Form	Screenshots - Travel Award Nomination Form.pdf		Yes	Yes	Fillable Fileable

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: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	200	0	200	0	0	0
Annual IC Time Burden (Hours)	50	0	50	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Template	Template 0925-0766 NIH HEAL Initiative - Travel Award Nomination Form.pdf	07/18/2023
Meeting Announcement	5th Annual HEAL Investigator Meeting Announcement.pdf	07/18/2023

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