Information Collection

IPPCR Final Course Evaluation (Students)

IC 237783 under ICR 201909-0925-001 · OMB 0925-0764.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0764 can be found here:

Documents and Forms

Document Name Document Type
Form 1 IPPCR Final Course Evaluation (Students) Form and Instruction
1 IPPCR Final Course Evaluation IPPCR Final Course Evaluation Screenshot.docx Form and Instruction
IPPCR Final Course Evaluation (3).doc IPPCR Final Course (Word Version) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	IPPCR Final Course Evaluation (Students)	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	IPPCR Final Course Evaluation	IPPCR Final Course Evaluation Screenshot.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0014 entitled Clinical Research: Student Records, HHS/NIH/OD/OIR/OE	FR Citation: 67 FR 60742

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IPPCR Final Course (Word Version)	IPPCR Final Course Evaluation (3).doc	09/18/2019

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