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ORWH Interprofessional Education Courses
Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)
OMB: 0925-0740
IC ID: 240786
OMB.report
HHS/NIH
OMB 0925-0740
ICR 202010-0925-003
IC 240786
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:
2022-10-19 - No material or nonsubstantive change to a currently approved collection
2022-08-04 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 1
ORWH Interprofessional Education Courses
Form and Instruction
1 ORWH Registration Form
ORWH_Registration Conference Form.docx
Form and Instruction
ORWH Course Registration Template.docx
Conference Registration Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
ORWH Interprofessional Education Courses
Agency IC Tracking Number:
IC Status:
Unchanged
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
ORWH Registration Form
ORWH_Registration Conference Form.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:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
100
Annual IC Time Burden (Hours)
8
0
0
0
0
8
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Conference Registration Template
ORWH Course Registration Template.docx
03/18/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.