Information Collection

CareerTrac Trainee Interface Screenshots

IC 230261 under ICR 201802-0925-003 · OMB 0925-0568.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0568 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6 CareerTrac Trainee Interface Screenshots	Form and Instruction
6 CareerTrac Trainee Interface Screenshot Att 7. CareerTrac Trainee Interface Screenshots.docx	Form and Instruction
Att 1 NIEHS Data Collection Form.xlsx NIEHS Data Collection Form	IC Document

IC Title:

CareerTrac Trainee Interface Screenshots

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 and Instruction	6	CareerTrac Trainee Interface Screenshot	Att 7. CareerTrac Trainee Interface Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-25-0014 Clinical Research: Student Records, HHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60742

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	5,000	5,000
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIEHS Data Collection Form	Att 1 NIEHS Data Collection Form.xlsx	02/26/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.