Information Collection Request

Assessing the Knowledge and Educational Needs of Students of Health Professions on Patient-Centered Outcomes Research

ICR 201304-0935-001 · OMB 0935-0210 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form #2 Student Survey Form and Instruction New Available
Form Form #1 Faculty Interview Form and Instruction New Available
SS Part B -- EVALUATING THE KNOWLEDGE AND EDUCATIONAL NEEDS OF STUDENTS 1-10-2013.docx Supporting Statement B Uploaded 2013-04-15 Available
Attachment F -- Confidentiality Pledge.docx Supplementary Document Uploaded 2013-04-15 Available
Attachment E - Federal Register Notice.pdf Supplementary Document Uploaded 2013-04-15 Available
Attachment B -- Invitation Email for Student Survey.docx Supplementary Document Uploaded 2013-04-15 Available
Attachment D -- Invitation Email for Faculty Interviews.docx Supplementary Document Uploaded 2013-04-15 Available
SS Part A -- EVALUATING THE KNOWLEDGE AND EDUCATIONAL NEEDS OF STUDENTS 1-9-2013.docx Supporting Statement A Uploaded 2013-04-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
206589 Student Survey Form and Instruction New
206588 Faculty Interview Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2015 24 Months From Approved
1,824 0 0
324 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Faculty Interview Form #1 Faculty Interview
Student Survey Form #2 Student Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,824 0 0 1,824 0 0
Annual Time Burden (Hours) 324 0 0 324 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No