Referees

Application for the Pharmacology Research Associate Program

Documents and Forms

Document Name Document Type
Form 3 Referees Form and Instruction
2 PRAT 2721-2 Attachment 5 PRAT NIH 2721-2 Application Evaluation Request.pdf Form and Instruction
3 PRAT Preceptor Selection Verification Attachment 6 PRAT Application Preceptor Selection Verification (2).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Referees	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	PRAT Preceptor Selection Verification	Attachment 6 PRAT Application Preceptor Selection Verification (2).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	PRAT 2721-2	Attachment 5 PRAT NIH 2721-2 Application Evaluation Request.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	131	131
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.