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Landis Award for Outstanding Mentorship - Nominations (NINDS)
Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)
OMB: 0925-0766
IC ID: 255259
OMB.report
HHS/NIH
OMB 0925-0766
ICR 202301-0925-002
IC 255259
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:
2023-07-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Landis Award for Outstanding Mentorship - Nominations (NINDS)
Form
Form 1
Landis Award for Outstanding Mentorship - Nominations (NINDS)
Form
1 Nominee Information email template request
NomineeInformation_TemplateEmailRequest_LandisAward2022-.docx
Form
1 Nominee Information email template request
NomineeInformation_TemplateEmailRequest_LandisAward2022-.docx
Form
2 Nomination form screenshot
NominationForm_Screenshot2022-.pdf
Form
2 Nomination form screenshot
NominationForm_Screenshot2022-.pdf
Form
LandisAward_2022_SubstudyTemplate_0925-0766.docx
sub-study for Landis Award Nomination
IC Document
LandisAward_2022_SubstudyTemplate_0925-0766.docx
sub-study for Landis Award Nomination
IC Document
Email advertisement text_call for nominations_LandisAward2022-.docx
email recruitment
IC Document
Email advertisement text_call for nominations_LandisAward2022-.docx
email recruitment
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Landis Award for Outstanding Mentorship - Nominations (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
Nominee Information email template request
NomineeInformation_TemplateEmailRequest_LandisAward2022-.docx
Yes
Yes
Fillable Fileable
Form
2
Nomination form screenshot
NominationForm_Screenshot2022-.pdf
Yes
Yes
Fillable Fileable
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:
250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
250
0
0
0
0
250
Annual IC Time Burden (Hours)
88
0
0
0
0
88
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
sub-study for Landis Award Nomination
LandisAward_2022_SubstudyTemplate_0925-0766.docx
08/10/2022
email recruitment
Email advertisement text_call for nominations_LandisAward2022-.docx
08/10/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.