Information Collection

IPPCR Lecture Evaluation (Health Care Professionals)

IC 237758 under ICR 202402-0925-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 IPPCR Lecture Evaluation (Health Care Professionals)	Form
1 Evaluation IPPCR Lecture Evaluation.docx	Form
1 Evaluation IPPCR Lecture Evaluation.docx	Form

IC Title:

IPPCR Lecture Evaluation (Health Care Professionals)

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	1	Evaluation	IPPCR Lecture Evaluation.docx		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: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

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	1,000	0	1,000
Annual IC Time Burden (Hours)	83	-84	167
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.