Information Collection

Bench to Bedside Immunology Module-- Knowledge check (Private)

IC 240846 under ICR 202003-0925-006 · OMB 0925-0768.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 Bench to Bedside Immunology Module-- Knowledge check (Private)	Form
3 Immunology knowledge check Attachment 5-Immunology knowledge check.docx	Form

Information Collection (IC) Details

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IC Title:

Bench to Bedside Immunology Module-- Knowledge check (Private)

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	3	Immunology knowledge check	Attachment 5-Immunology knowledge check.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 09-25-0108, Personnel: Guest Researchers, Special Volunteers, and Scientists Emeriti, HHS/NIH/OHRM; OPM/GOVT-6, Personnel Research and Test Validation Records; and OPM/GOVT-1, General Personnel Record

FR Citation: 67 FR 60742

Number of Respondents: 105

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
Annual Number of Responses for this IC	105	105
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.