Evaluation Form for the Bridging the Career Gap for Underrepresented Minority Scientists workshop

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIAID)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0668 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Evaluation Form for the Bridging the Career Gap for Underrepresented Minority Scientists workshop Form and Instruction
1 BTCG Survey Survey Instrument-BTCG 2013.doc Form and Instruction
NIAID_generic_clearance_Fast Track Application-BTCG 2013.doc NIAID_generic_clearance_Fast Track Application-BTCG 2013 IC Document

Information Collection (IC) Details

IC Title:	Evaluation Form for the Bridging the Career Gap for Underrepresented Minority Scientists workshop	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	BTCG Survey	Survey Instrument-BTCG 2013.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

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	100	0	0	0	0	0
Annual IC Time Burden (Hours)	8	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
NIAID_generic_clearance_Fast Track Application-BTCG 2013	NIAID_generic_clearance_Fast Track Application-BTCG 2013.doc	10/30/2013

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