FDA Traineeship Program - Application

Application for Participation in Food and Drug Administration Fellowship Programs

Documents and Forms

Document Name Document Type
Form Form FDA 5012 FDA Traineeship Program - Application Form and Instruction
Form FDA 5012 Traineeship Application Traineeship Application FDA-5012.pdf Form and Instruction
Form FDA 5012 Traineeship Application Traineeship Application FDA-5012.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	FDA Traineeship Program - Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 FDA-5012.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 %

	Approved	Previously Approved
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

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.