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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.