Office of Minority Health Research Coordination (OMHRC) Research Training and Mentor Programs Applications (NIDDK)

ICR 202405-0925-002

OMB: 0925-0748

Federal Form Document

Forms and Documents

Document Name	Status
Form 1 NMRI Evaluation Form Day 3 Form and Instruction	Modified
Form 1 NMRI Evaluation Form Day 3 Form and Instruction	Modified
Form 1 NMRI Evaluation Form Day 2 Form and Instruction	Modified
Form 1 NMRI Evaluation Form Day 2 Form and Instruction	Modified
Form 1 NIH/NMA Academic Career Development Workshop Contact Information and Feedback Form Form and Instruction	Unchanged
Form 1 NIH/NMA Academic Career Development Workshop Contact Information and Feedback Form Form and Instruction	Unchanged
Form 1 STEP-UP Participant Survey form Form and Instruction	Unchanged
Form 1 STEP-UP Participant Survey form Form and Instruction	Unchanged
Form 1 NIH/NHMA Feedback Form Form and Instruction	Unchanged
Form 1 NIH/NHMA Feedback Form Form and Instruction	Unchanged
Form 1 NIH/National Hispanic Medical Association (NHMA) Academic Career Fellow Travel Awards Application Form and Instruction	Unchanged
Form 1 NIH/National Hispanic Medical Association (NHMA) Academic Career Fellow Travel Awards Application Form and Instruction	Unchanged
Form 1 NIH/NMA Feedback Form Form and Instruction	Unchanged
Form 1 NIH/NMA Feedback Form Form and Instruction	Unchanged
Form 1 NIH/National Medical Association (NMA) Academic Career Fellow Travel Awards Application Form and Instruction	Unchanged
Form 1 NIH/National Medical Association (NMA) Academic Career Fellow Travel Awards Application Form and Instruction	Unchanged
Form 1 NMRI Mentor-Mentee Agreement Form Form and Instruction	Unchanged
Form 1 NMRI Mentor-Mentee Agreement Form Form and Instruction	Unchanged
Form 1 NMRI Survey Form Form and Instruction	Unchanged
Form 1 NMRI Survey Form Form and Instruction	Unchanged
Form 1 NMRI Evaluation Form Day 1 Form	Modified
Form 1 NMRI Evaluation Form Day 1 Form	Modified
Form 1 Network of Minority Health Research Investigators (NMRI) Enrollment Form Form and Instruction	Unchanged
Form 1 Network of Minority Health Research Investigators (NMRI) Enrollment Form Form and Instruction	Unchanged
Form 4 Diversity Summer Research Training Program (DSTRP) Feedback Form Form and Instruction	Unchanged
Form 4 Diversity Summer Research Training Program (DSTRP) Feedback Form Form and Instruction	Unchanged
Form 2 STEP-UP Student Feedback Form Form and Instruction	Unchanged
Form 2 STEP-UP Student Feedback Form Form and Instruction	Unchanged
Form 1 Short-Term Research Experience Program to Unlock Potential (STEP-UP) Application Form and Instruction	Unchanged
Form 1 Short-Term Research Experience Program to Unlock Potential (STEP-UP) Application Form and Instruction	Unchanged
(8) NMRI Evaluation form Day 3 - Original with strikethrough.docx Supplementary Document	2024-06-05
(8) NMRI Evaluation form Day 3 - Original with strikethrough.docx Supplementary Document	2024-06-05
(7) NMRI Evaluation form Day 2 - Original with strikethrough.docx Supplementary Document	2024-06-05
(7) NMRI Evaluation form Day 2 - Original with strikethrough.docx Supplementary Document	2024-06-05
(6) NMRI Evaluation form Day 1 - Original with Strikethrough.docx Supplementary Document	2024-06-05
(6) NMRI Evaluation form Day 1 - Original with Strikethrough.docx Supplementary Document	2024-06-05
NIDDK OMHRC Change Memo 0925-0748.docx Justification for No Material/Nonsubstantive Change	2024-06-05
NIDDK OMHRC Change Memo 0925-0748.docx Justification for No Material/Nonsubstantive Change	2024-06-05
(17) National-Institutes-of-Health-9724-PIA-03-10-2023-205.pdf Supplementary Document	2023-06-12
(17) National-Institutes-of-Health-9724-PIA-03-10-2023-205.pdf Supplementary Document	2023-06-12
(16) Approved Privacy Memo NIDDK OMHRC Research Training and Mentor Programs Applications.pdf Supplementary Document	2023-06-12
(16) Approved Privacy Memo NIDDK OMHRC Research Training and Mentor Programs Applications.pdf Supplementary Document	2023-06-12
OMHRC Supporting Statement A.docx Supporting Statement A	2023-06-12
OMHRC Supporting Statement A.docx Supporting Statement A	2023-06-12
NIDDK 30 day notice.pdf Supplementary Document	2023-06-09
NIDDK 30 day notice.pdf Supplementary Document	2023-06-09

IC Document Collections

IC ID	Document Title	Status
260465	NMRI Evaluation Form Day 3 Form and Instruction	Modified
260465	NMRI Evaluation Form Day 3 Form and Instruction	Modified
260464	NMRI Evaluation Form Day 2 Form and Instruction	Modified
260464	NMRI Evaluation Form Day 2 Form and Instruction	Modified
241916	NIH/NMA Academic Career Development Workshop Contact Information and Feedback Form Form and Instruction	Unchanged
241916	NIH/NMA Academic Career Development Workshop Contact Information and Feedback Form Form and Instruction	Unchanged
241914	STEP-UP Participant Survey form Form and Instruction	Unchanged
241914	STEP-UP Participant Survey form Form and Instruction	Unchanged
238843	NIH/NHMA Feedback Form Form and Instruction	Unchanged
238843	NIH/NHMA Feedback Form Form and Instruction	Unchanged
238842	NIH/National Hispanic Medical Association (NHMA) Academic Career Fellow Travel Awards Application Form and Instruction	Unchanged
238842	NIH/National Hispanic Medical Association (NHMA) Academic Career Fellow Travel Awards Application Form and Instruction	Unchanged
238841	NIH/NMA Feedback Form Form and Instruction	Unchanged
238841	NIH/NMA Feedback Form Form and Instruction	Unchanged
238840	NIH/National Medical Association (NMA) Academic Career Fellow Travel Awards Application Form and Instruction	Unchanged
238840	NIH/National Medical Association (NMA) Academic Career Fellow Travel Awards Application Form and Instruction	Unchanged
238839	NMRI Mentor-Mentee Agreement Form Form and Instruction	Unchanged
238839	NMRI Mentor-Mentee Agreement Form Form and Instruction	Unchanged
238838	NMRI Survey Form Form and Instruction	Unchanged
238838	NMRI Survey Form Form and Instruction	Unchanged
238837	NMRI Evaluation Form Day 1 Form	Modified
238837	NMRI Evaluation Form Day 1 Form	Modified
238836	Network of Minority Health Research Investigators (NMRI) Enrollment Form Form and Instruction	Unchanged
238836	Network of Minority Health Research Investigators (NMRI) Enrollment Form Form and Instruction	Unchanged
238835	Diversity Summer Research Training Program (DSTRP) Feedback Form Form and Instruction	Unchanged
238835	Diversity Summer Research Training Program (DSTRP) Feedback Form Form and Instruction	Unchanged
238834	STEP-UP Student Feedback Form Form and Instruction	Unchanged
238834	STEP-UP Student Feedback Form Form and Instruction	Unchanged
238833	Short-Term Research Experience Program to Unlock Potential (STEP-UP) Application Form and Instruction	Unchanged
238833	Short-Term Research Experience Program to Unlock Potential (STEP-UP) Application Form and Instruction	Unchanged