Information Collection

2021 Professional Development Workshop and Mentor Mock Review (NCI)

IC 247552 under ICR 202201-0925-002 · OMB 0925-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 2021 Professional Development Workshop and Mentor Mock Review (NCI)	Form and Instruction
1 PDW & MMR abstract PDW & MMR Abstract.docx	Form and Instruction
1 PDW & MMR abstract PDW & MMR Abstract.docx	Form and Instruction
2 PDW & MMR Registration PDW & MMR Registration.docx	Form and Instruction
2 PDW & MMR Registration PDW & MMR Registration.docx	Form and Instruction
Sub Study Request - PDW MMR 2021.docx 2021 Professional Development Workshop and Mentor Mock Review	IC Document
Sub Study Request - PDW MMR 2021.docx 2021 Professional Development Workshop and Mentor Mock Review	IC Document
PDW & MMR Email Invite.docx email	IC Document
PDW & MMR Email Invite.docx email	IC Document

IC Title:

2021 Professional Development Workshop and Mentor Mock Review (NCI)

Agency IC Tracking Number:

IC Status: Unchanged

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	PDW & MMR abstract	PDW & MMR Abstract.docx		Yes	Yes	Fillable Fileable
Form and Instruction	2	PDW & MMR Registration	PDW & MMR Registration.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 450

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	450	450
Annual IC Time Burden (Hours)	84	84
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2021 Professional Development Workshop and Mentor Mock Review	Sub Study Request - PDW MMR 2021.docx	05/21/2021
email	PDW & MMR Email Invite.docx	05/21/2021

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