Information Collection

Resident Elective Program (REP)

IC 226824 under ICR 202308-0925-002 · OMB 0925-0698.

Documents and Forms

Document Name Document Type
Form 1 Resident Elective Program (REP) Form and Instruction
1 Application Attachment 4_Resident Electives Program.pdf Form and Instruction
1 Application Attachment 4_Resident Electives Program.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Resident Elective Program (REP)	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	1	Application	Attachment 4_Resident Electives Program.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Clinical Research: Student Records	FR Citation: 67 FR 60741

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	33	33
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.