Information Collection

Pcp

IC 226818 under ICR 201705-0925-008 · OMB 0925-0698.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0698 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 PCP	Form
3 PCP Attachment 7 PCP.pdf	Form

IC Title:

PCP

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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	3	PCP	Attachment 7 PCP.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Clinical Research: Student Records, HHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60741

Number of Respondents: 800

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	267	267
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.