Information Collection Request

Impact of Clinical Research Training and Medical Education at the Clinical Center on Physician Careers in Academia and Clinical Research

ICR 201603-0925-006 · OMB 0925-0602 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3 Attachment 3 Other Surveys Form and Instruction New Repair queued
Form 2 Attachment 1 Physician and Student Surveys Form and Instruction New Available
Form 1 Attachment 2 Physician Surveys Form and Instruction New Available
Form 1 Sabbatical in Clinical research Management Form and Instruction Removed Available
Form 6 Summer Research Program Form and Instruction Removed Available
Form 5 Ph.D Student Summer Course in Clinical and Translational Research Form and Instruction Removed Available
Form 4 CEP Form and Instruction Removed Available
Form 3 MSRP CRTP Form and Instruction Removed Available
Form 2 PCP Form and Instruction Removed Available
Form 1 IPPCR Form and Instruction Removed Available
Form 5 NIH Duke Training Program in Clinical Research Form and Instruction Removed Repair queued
Form 4 REP Form and Instruction Removed Available
Form 3 GME Form and Instruction Removed Available
Form 2 PCP Form and Instruction Removed Available
Form 1 IPPCR Form and Instruction Removed Available
Attachment 5 CRS-PrivacyImpactAssessment.PDF Supplementary Document Uploaded 2016-08-26 Available
Attachment 4 Details of Survey Modifications.pdf Supplementary Document Uploaded 2016-08-26 Available
SSA 0925-0602_revised-Final-8-26-16.docx Supporting Statement A Uploaded 2016-08-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
220823 Other Form and Instruction NewAttachment 3 Other Surveys
220821 Students Form and Instruction NewAttachment 1 Physician and Student Surveys
220820 Doctoral Level Form and Instruction NewAttachment 2 Physician Surveys
205807 Others (administrators, nurses etc.) Form and Instruction RemovedSabbatical in Clinical research Management
205806 Students Form and Instruction RemovedSummer Research Program
205806 Students Form and Instruction RemovedPh.D Student Summer Course in Clinical and Translational Research
205806 Students Form and Instruction RemovedCEP
205806 Students Form and Instruction RemovedMSRP CRTP
205806 Students Form and Instruction RemovedPCP
205806 Students Form and Instruction RemovedIPPCR
189079 Doctors Form and Instruction RemovedNIH Duke Training Program in Clinical Research
189079 Doctors Form and Instruction RemovedREP
189079 Doctors Form and Instruction RemovedGME
189079 Doctors Form and Instruction RemovedPCP
189079 Doctors Form and Instruction RemovedIPPCR

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2019 36 Months From Approved 08/31/2016
960 0 785
320 0 261
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Doctoral Level 1
Doctors 1, 2, 3, 4, 5 ,   ,   ,   ,  
Other 3
Others (administrators, nurses etc.) 1
Students 1, 2, 3, 4, 5, 6 ,   ,   ,   ,   ,  
Students 2

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 960 785 0 175 0 0
Annual Time Burden (Hours) 320 261 0 59 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No