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Researchers
National Institute of Nursing Research (NINR) Summer Genetics Institute Alumni Survey
OMB: 0925-0666
IC ID: 204858
OMB.report
HHS/NIH
OMB 0925-0666
ICR 201211-0925-008
IC 204858
( )
Documents and Forms
Document Name
Document Type
Form 1
Researchers
Form and Instruction
1 Survey
Attachment 2_SGI survey_screenshots_v2.docx
Form and Instruction
Attachment 1_SGI-SurveyQuestions_v2.docx
Attachment 1_SGI-SurveyQuestions_v2
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Researchers
Agency IC Tracking Number:
Is this a Common Form?
No
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
Survey
Attachment 2_SGI survey_screenshots_v2.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:
FR Citation:
Number of Respondents:
150
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
150
0
150
0
0
0
Annual IC Time Burden (Hours)
75
0
75
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 1_SGI-SurveyQuestions_v2
Attachment 1_SGI-SurveyQuestions_v2.docx
11/13/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.