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Summer Program Application
Division of Cancer Epidemiology and Genetics (DCEG) Fellowship Program and Summer Student Applications
OMB: 0925-0716
IC ID: 215148
OMB.report
HHS/NIH
OMB 0925-0716
ICR 201803-0925-001
IC 215148
( )
Documents and Forms
Document Name
Document Type
Form 2
Summer Program Application
Form and Instruction
2 Attachment 2 Summer Program App
A2 Summer Program App.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Summer Program Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
2
Attachment 2 Summer Program App
A2 Summer Program App.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:
300
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
0
0
-300
0
0
300
Annual IC Time Burden (Hours)
0
0
-100
0
0
100
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.