The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0367 can be found here:

Documents and Forms

Document Name Document Type
Form 1 The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart Form and Instruction
1 FTE Chart Final Instructions for FTE Chart FINAL 4.1.16_DPSD edits 4-6 ml (3).doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	1	FTE Chart Final	Instructions for FTE Chart FINAL 4.1.16_DPSD edits 4-6 ml (3).doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	90	65	25
Annual IC Time Burden (Hours)	90	77	13
Annual IC Cost Burden (Dollars)	0	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.