Information Collection

FDA Traineeship Program - Application

IC 244760 under ICR 202012-0910-002 · OMB 0910-0780.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0780 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form FDA 5012 FDA Traineeship Program - Application	Form and Instruction
Form FDA 5012 Traineeship Application Traineeship_Application.pdf	Form and Instruction
Form FDA 5012 Traineeship Application Traineeship_Application.pdf	Form and Instruction

IC Title:

FDA Traineeship Program - Application

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 and Instruction	Form FDA 5012	Traineeship Application	Traineeship_Application.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	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.