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NIH Special Volunteer Agreement
Special Volunteer and Guest Researcher Assignment (OD)
OMB: 0925-0177
IC ID: 229153
OMB.report
HHS/NIH
OMB 0925-0177
ICR 202212-0925-002
IC 229153
( )
Documents and Forms
Document Name
Document Type
Form 590-2
NIH Special Volunteer Agreement
Form
590-2 NIH Special Volunteer Agreement
Attach 2 - Revised Form NIH-590-2.pdf
Form
590-2 NIH Special Volunteer Agreement
Attach 2 - Revised Form NIH-590-2.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NIH Special Volunteer Agreement
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
590-2
NIH Special Volunteer Agreement
Attach 2 - Revised Form NIH-590-2.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Personnel: Guest Researchers, Special Volunteers, and Scientist Emeriti, HHS/NIH/OHRM
FR Citation:
67 FR 60742
Number of Respondents:
2,100
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
2,100
0
0
0
0
2,100
Annual IC Time Burden (Hours)
175
0
0
0
0
175
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.