BUILD Institutional Research & Program Data Requests

Evaluation of the Enhancing Diversity of the NIH-funded Workforce Program (NIGMS)

Documents and Forms

Document Name Document Type
Form 3 BUILD Institutional Research & Program Data Requests Form and Instruction
3 Data Request Form Attachment 13_BUILD Institutional Records and Program Data Requests.pdf Form and Instruction
3 Data Request Form Attachment 13_BUILD Institutional Records and Program Data Requests.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	BUILD Institutional Research & Program Data Requests	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 and Instruction	3	Data Request Form	Attachment 13_BUILD Institutional Records and Program Data Requests.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	-14,970	15,000
Annual IC Time Burden (Hours)	480	-10,770	11,250
Annual IC Cost Burden (Dollars)	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.