NIGMS Reviewer Service Volunteer Form
Privacy Statement:
This statement is provided pursuant to the Privacy Act of 1974 (5 U.S.C. § 552a): Collection of this information is authorized under 42 U.S.C. 203, 241, 289a-1 and 44 U.S.C. 3101), and Section 301 and 493 of the Public Health Service Act. Completing the form is voluntary; however, if you decline to provide any or all of the requested information, you may not be considered as a potential scientific reviewer. The principal purpose for which the information will be used is to review and qualify an individual to serve as a scientific reviewer. The personal information you provide may be disclosed to NIGMS staff involved in the scientific review process. The information you provide will be included in a privacy act system of records and will be used and may be disclosed for the purposes and routine uses described and published in the following System of Records Notice (SORN): 09-25-0156 Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service.
Reporting Burden:
Public reporting burden for this collection of information is an estimated average of 6 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0766). Do not return the completed form to this address.
Last Modified Date: 3/18/2024 1:57:47 PM