View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	5th Annual NIH HEAL Investigator Meeting Registration 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	1	Registration	Screenshots - 5th Annual HEAL Investigator Meeting Registration Form.pdf		Yes	Yes	Fillable Fileable
Other-Registration Website			Screenshots - 5th Annual HEAL Investigator Meeting Registration Website.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: 900	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	900	0	900	0	0	0
Annual IC Time Burden (Hours)	225	0	225	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Meeting Announcement	5th Annual HEAL Investigator Meeting Registration Announcement.pdf	10/04/2023
Template	10.31.23_Request for Approval OMB# 0925-0740 NIH HEAL Initiative Meeting Registration Form.docx	10/31/2023

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