Information Collection

Students

IC 205806 under ICR 201302-0925-002 · OMB 0925-0602.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0602 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Students	Form and Instruction
1 IPPCR IPPCR 12 Month Survey Screenshots.pdf	Form and Instruction
2 PCP PCP Alumni Survey 1yr Screenshots.pdf	Form and Instruction
3 MSRP CRTP MRSP-CRTP Alumni Survey-Screen Shots[1].pdf	Form and Instruction
4 CEP Clinical Electives Program Alumni Survey-Screen Shots.pdf	Form and Instruction
5 Ph.D Student Summer Course in Clinical and Translational PhD Student Summer Course 1 Year Followup Survey.pdf	Form and Instruction
6 Summer Research Program Summer Internship Program Alumni Survey.pdf	Form and Instruction

IC Title:

Students

Agency IC Tracking Number:

Is this a Common Form? No

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	1	IPPCR	IPPCR 12 Month Survey Screenshots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	PCP	PCP Alumni Survey 1yr Screenshots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	3	MSRP CRTP	MRSP-CRTP Alumni Survey-Screen Shots[1].pdf	Yes	Yes	Fillable Fileable
Form and Instruction	4	CEP	Clinical Electives Program Alumni Survey-Screen Shots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	5	Ph.D Student Summer Course in Clinical and Translational Research	PhD Student Summer Course 1 Year Followup Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	6	Summer Research Program	Summer Internship Program Alumni Survey.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 403

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 Agency Discretion
Annual Number of Responses for this IC	403	403
Annual IC Time Burden (Hours)	134	134
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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