Information Collection

Foreign Graduate Medical School Consumer Information Reporting Form

IC 206121 under ICR 201603-1845-005 · OMB 1845-0117.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0117 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Foreign Graduate Medical School Consumer Information Reporting Form	Form and Instruction
1845-0117 State Affected Entity Information.doc	Other-State Affected Entity Informat
Foreign Graduate Medical School Consumer Information Rep Enclosure C - Form and Instructions for completing consumer information.pdf	Form and Instruction

IC Title:

Foreign Graduate Medical School Consumer Information Reporting Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 668.14(b)(7)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Foreign Graduate Medical School Consumer Information Reporting Form	Enclosure C - Form and Instructions for completing consumer information.pdf		No		Paper Only
Other-State Affected Entity Information			1845-0117 State Affected Entity Information.doc		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	272	272
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.