Information Collection

Postbac Supplemental Application

IC 233548 under ICR 201911-0925-001 · OMB 0925-0758.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Postbac Supplemental Application	Form
Website Instructions for postbac.pdf	Instruction
1 Screenshot iCURE Postbac Application iCURE Postbac Application.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	1	Screenshot iCURE Postbac Application	iCURE Postbac Application.pdf		Yes	Yes	Fillable Fileable
Instruction			Website Instructions for postbac.pdf		Yes	Yes	Fillable Printable

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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	17	-8	25
Annual IC Cost Burden (Dollars)	0	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.