Information Collection

Postbac Supplemental Application

IC 233548 under ICR 201810-0925-004 · OMB 0925-0758.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0758 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Postbac Supplemental Application Form and Instruction
1 Postbac Application Attach1-iCURE-Postbac-Application_6222018.pdf Form and Instruction
Attach6-Burden Statement.pdf Burden Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Postbac Supplemental Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	Postbac Application	Attach1-iCURE-Postbac-Application_6222018.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Clinical Research; Student Records, HHS/PHS/NIH/OD/OIR/OE	FR Citation: 67 FR 60742

Number of Respondents: 50	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Burden Statement	Attach6-Burden Statement.pdf	10/16/2018

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