Information Collection

Qualitative Research to Explore Young People's Choices to Pursue a Career as a Physician Scientist

IC 209556 under ICR 201112-0925-001 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 Qualitative Research to Explore Young People's Choices to Pursue a Career as a Physician Scientist	Form and Instruction
3 Young Faculty Moderator Guide Young Faculty Moderator Guide FINAL 12-02-13 FOCUS GROUPS.doc	Form and Instruction
2 Research Student Modertaor Guide Research Student Moderator Guide FINAL 12-02-13 - FOCUS GROUPS].doc	Form and Instruction
1 Recruitment and Screening Form Recruitment Messages and Screening Tool for Student Focus Groups 12-03-13.doc	Form and Instruction
Fast-Track Generic_Clearance_Submission_Template1 11-22-13 FOCUS GROUPS.doc Fasr Track Clearance Request Form	IC Document

IC Title:

Qualitative Research to Explore Young People's Choices to Pursue a Career as a Physician Scientist

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	Young Faculty Moderator Guide	Young Faculty Moderator Guide FINAL 12-02-13 FOCUS GROUPS.doc	Yes	Yes	Fillable Fileable
Form and Instruction	2	Research Student Modertaor Guide	Research Student Moderator Guide FINAL 12-02-13 - FOCUS GROUPS].doc	Yes	Yes	Fillable Printable
Form and Instruction	1	Recruitment and Screening Form	Recruitment Messages and Screening Tool for Student Focus Groups 12-03-13.doc	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 330

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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	330	0	0	0	0	0
Annual IC Time Burden (Hours)	183	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fasr Track Clearance Request Form	Fast-Track Generic_Clearance_Submission_Template1 11-22-13 FOCUS GROUPS.doc	12/04/2013

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