Information Collection

Professional Development Workshop (PDW) and Mentored Mock Review (MMR) – Participant Feedback (NCI)

IC 248466 under ICR 202002-0925-002 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 PDW & MMR Feedback survey Professional Development Workshop (PDW) and Mentored Mock Review (MMR) – Participant Feedback (NCI)	Form and Instruction
1 PDW & MMR Feedback survey PDW & MMR 2021 Feedback Survey Screenshots_V2.pdf	Form and Instruction
Fast Track Sub-Study - PDW-MMR 2021 7.13.2021 (1).docx Professional Development Workshop (PDW) and Mentored Mock Review (MMR) – Participant Feedback (NCI)	IC Document

IC Title:

Professional Development Workshop (PDW) and Mentored Mock Review (MMR) â Participant Feedback (NCI)

Agency IC Tracking Number:

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				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 225

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	225	225
Annual IC Time Burden (Hours)	113	113
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Professional Development Workshop (PDW) and Mentored Mock Review (MMR) â Participant Feedback (NCI)		07/20/2021

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

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