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NIH guest Research Agreement
Special Volunteer and Guest Researcher Assignment (OD)
OMB: 0925-0177
IC ID: 229194
OMB.report
HHS/NIH
OMB 0925-0177
ICR 201711-0925-005
IC 229194
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0177 can be found here:
2022-12-22 - Revision of a currently approved collection
2021-02-08 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 3
NIH guest Research Agreement
Form
3 NIH Guest Researcher Agreement
SSA Attachment 3 - NIH GR Agreement (1 page).pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NIH guest Research Agreement
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
3
NIH Guest Researcher Agreement
SSA Attachment 3 - NIH GR Agreement (1 page).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
FR Citation:
67 FR 60742
Number of Respondents:
270
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
270
0
270
0
0
0
Annual IC Time Burden (Hours)
23
0
23
0
0
0
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.