View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Registration for Women's Health Awareness (WHA) Climate Change in Your Community Challenge for North Carolina Schools (NIEHS)	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	1	Interest Form	NIEHS Citizen Science Project_ Climate Change Initial Interest Form.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: Clinical Research: Candidate Normal Volunteer Records, HHS/NIH/CC	FR Citation: 67 FR 60742

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	20	0	20	0	0	0
Annual IC Time Burden (Hours)	3	0	3	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Email Correspondence	Email To Principals_v. 09.26.2023.docx	10/04/2023
Recruitment Materials	WHA Climate Change STEM Flyer.pdf	10/04/2023
Template	0925-0740 WHA Citizen Science Climate Challenge.docx	10/12/2023

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