Prevention Research Expertise Survey

Identifying Experts in Prevention Science Methods to Include on NIH Review Panels

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0728 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Prevention Research Expertise Survey Form and Instruction
1 Attachment 1 PRES Screen shots Attachment 1 - PRES Screen Shots.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Prevention Research Expertise Survey	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	Attachment 1 PRES Screen shots	Attachment 1 - PRES Screen Shots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,120	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
Annual Number of Responses for this IC	3,120	3,120
Annual IC Time Burden (Hours)	1,040	1,040
Annual IC Cost Burden (Dollars)	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.