Information Collection

NICHD Funded Pediatric Clinical Pharmacology Fellows Data Request

IC 259666 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Ped Pharm Fellow survey NICHD Funded Pediatric Clinical Pharmacology Fellows Data Request	Form
1 Ped Pharm Fellow survey 0925-0766_Substudy_NICHD_Ped Pharm Fellow Survey_survey form.pdf	Form
0925-0766_Substudy_NICHD_Ped Pharm Fellow Survey .docx sub-study for Ped Pharm Fellow Survey	IC Document
0925-0766_Substudy_NICHD_Ped Pharm Fellow Survey_email_revised.docx recruitment email - revised	IC Document

IC Title:

NICHD Funded Pediatric Clinical Pharmacology Fellows Data Request

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	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 154

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	154	154
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
sub-study for Ped Pharm Fellow Survey		04/12/2023
recruitment email - revised		04/12/2023

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

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