Information Collection

PCP Lecture Evaluation (Students)

IC 237812 under ICR 202210-0925-009 · OMB 0925-0764.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0764 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 PCP Lecture Evaluation (Students)	Form and Instruction
Form 1 PCP Lecture Evaluation PCP Lecture Evaluation (Students)	Form and Instruction
1 PCP Lecture Evaluation PCP Final Course Evaluation Screenshot.docx	Form and Instruction
1 PCP Lecture Evaluation PCP Final Course Evaluation Screenshot.docx	Form and Instruction

IC Title:

PCP Lecture Evaluation (Students)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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: 09-25-0014 entitled Clinical Research: Student Records, HHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60742

Number of Respondents: 2,000

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,000	1,500	500
Annual IC Time Burden (Hours)	333	250	83
Annual IC Cost Burden (Dollars)	0	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.

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