Information Collection

Graduate Student Application

IC 233549 under ICR 201911-0925-001 · OMB 0925-0758.

Documents and Forms

Document Name Document Type
Form 2 Graduate Student Application Form and Instruction
Website Instructions for grad student.pdf Instruction
2 iCURE GradStudents Application Attach2-iCURE-GradStudents-Application_6222018.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Graduate Student Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	2	iCURE GradStudents Application	Attach2-iCURE-GradStudents-Application_6222018.pdf		No		Paper Only
Instruction			Website Instructions for grad student.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: 30	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	0	30
Annual IC Time Burden (Hours)	38	-22	60
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.