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Special Volunteers and Guest Researchers
Special Volunteer and Guest Researcher Assignment (OD)
OMB: 0925-0177
IC ID: 7250
OMB.report
HHS/NIH
OMB 0925-0177
ICR 201711-0925-005
IC 7250
( )
⚠️ Notice: This information collection may be referencing outdated material.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 590
Special Volunteers and Guest Researchers
Form and Instruction
590 Special Volunteer and Guest Researchers
Attachment 1 Form NIH590.pdf
Form and Instruction
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 2 Acknowledgement Letter.doc
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 2 Acknowledgement Letter
IC Document
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 3 Special Volunteer Agreement.doc
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 3 Special Volunteer Agreement
IC Document
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 4 Guest Researcher Agreement (2).doc
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 4 Guest Researcher Agreement (2)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Special Volunteers and Guest Researchers
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
590
Special Volunteer and Guest Researchers
Attachment 1 Form NIH590.pdf
Yes
Yes
Fillable Printable
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:
1,660
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
0
0
-1,660
0
0
1,660
Annual IC Time Burden (Hours)
0
0
-166
0
0
166
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 2 Acknowledgement Letter
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 2 Acknowledgement Letter.doc
05/10/2011
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 3 Special Volunteer Agreement
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 3 Special Volunteer Agreement.doc
05/10/2011
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 4 Guest Researcher Agreement (2)
NIH 590 Form - OMB SupportingStatement 0925-0177 Attachment 4 Guest Researcher Agreement (2).doc
05/10/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.