Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form (NINDS)

Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form (NINDS) Form
Form 1 Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form (NINDS) Form
1 2021 IPRCC Nomination form 2021-IPRCC-Nomination Form (1).pdf Form
1 2021 IPRCC Nomination form 2021-IPRCC-Nomination Form (1).pdf Form
generic template_IPRCC nomination form 2021.docx Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form IC Document
generic template_IPRCC nomination form 2021.docx Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form IC Document
Announcement of IPRCC nominations request_email draft.docx Annoucement invitation IC Document
Announcement of IPRCC nominations request_email draft.docx Annoucement invitation IC Document

Information Collection (IC) Details

IC Title:	Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form (NINDS)	Agency IC Tracking Number:

IC Status: Unchanged

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	1	2021 IPRCC Nomination form	2021-IPRCC-Nomination Form (1).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Interagency Pain Research Coordinating Committee (IPRCC) Member Nomination Form	generic template_IPRCC nomination form 2021.docx	11/09/2021
Annoucement invitation	Announcement of IPRCC nominations request_email draft.docx	11/09/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.