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Extramural/ Advisors and Supervisors
National Institutes of Health Loan Repayment Programs
OMB: 0925-0361
IC ID: 184367
OMB.report
HHS/NIH
OMB 0925-0361
ICR 201908-0925-005
IC 184367
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0361 can be found here:
2022-08-31 - Extension without change of a currently approved collection
2021-04-15 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 2
Extramural/ Advisors and Supervisors
Form
2 Advisors or Supervisors
Advisors or Supervisors.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Extramural/ Advisors and Supervisors
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
2
Advisors or Supervisors
Advisors or Supervisors.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Higher Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,480
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
-1,480
0
0
1,480
Annual IC Time Burden (Hours)
0
0
-1,480
0
0
1,480
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.