View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	2024 Health Disparities Research Institute (HDRI) (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	Application	2024 HDRI Application Form (1 24 24) PRACS.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Guest Researchers, Special Volunteers, and Scientists Emeriti	FR Citation: 83 FR 6591

Number of Respondents: 250	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	250	0	250	0	0	0
Annual IC Time Burden (Hours)	104	0	104	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Template	2024 Request Generic NewTemplate (APPL).docx	01/31/2024
Recruitment Materials	HDRI 2024 Save the Date (submitted to PRACS).docx	01/31/2024

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