Information Collection

Trainees

IC 236239 under ICR 201905-0925-005 · OMB 0925-0762.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0762 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Trainees	Form and Instruction
1 Trainee screenshots Att 1a-eIDP Trainee Screenshots.pdf	Form and Instruction
Att 1b-eIDP Burden Statement.pdf burden statement	IC Document

IC Title:

Trainees

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	1	Trainee screenshots	Att 1a-eIDP Trainee Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: #09â25â0014, âClinical Research; Student Records, HHS/PHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60742

Number of Respondents: 1,000

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

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
burden statement	Att 1b-eIDP Burden Statement.pdf	05/29/2019

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