Information Collection

PCP Final Course Evaluation (General Public)

IC 237839 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⚠️ Notice: This information collection may be referencing outdated material.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 PCP Final Course Evaluation (General Public)	Form and Instruction
1 PCP Final Course Evaluation PCP Final Course Evaluation Screenshot.docx	Form and Instruction
1 Survey Pharmacology course evaluation screenshot v2.docx	Form

IC Title:

PCP Final Course Evaluation (General Public)

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	Survey	Pharmacology course evaluation screenshot v2.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: 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	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.