Early Career Reviewer Program Online Application System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0695 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Early Career Reviewer Program Online Application System Form and Instruction
1 Screenshots of data collection instrument Attachment 1 - Sample Screen Shots of Online Application Format.pdf Form and Instruction
Attachment 3 ECR website.pdf Attachment 3 ECR website IC Document
Attachment 4- Sample Letters to Applicants.doc Attachment 4- Sample Letters to Applicants IC Document
Attachment 6 - REVISED Sample Statement for Website regarding confidentiality and Voluntariness with PCB comments 12-17-13.doc Attachment 6 - REVISED Sample Statement for Website regarding confidentiality and Voluntariness with PCB comments 12-17-13 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Early Career Reviewer Program Online Application System	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	Screenshots of data collection instrument	Attachment 1 - Sample Screen Shots of Online Application Format.pdf		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-25-0036 Extramural Awards and Chartered Advisory Committees (IMPAC 2), Contract Information (DCIS), and Cooperative Agreement Information, HHS/NIH	FR Citation: 67 FR 60742

Number of Respondents: 1,560	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,560	1,560
Annual IC Time Burden (Hours)	650	650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 3 ECR website	Attachment 3 ECR website.pdf	01/24/2014
Attachment 4- Sample Letters to Applicants	Attachment 4- Sample Letters to Applicants.doc	01/24/2014
Attachment 6 - REVISED Sample Statement for Website regarding confidentiality and Voluntariness with PCB comments 12-17-13	Attachment 6 - REVISED Sample Statement for Website regarding confidentiality and Voluntariness with PCB comments 12-17-13.doc	01/24/2014

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