Information Collection

Trainees

IC 230261 under ICR 202405-0925-001 · OMB 0925-0568.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6 Trainees	Form and Instruction
6 CareerTrac Trainee Interface Screenshot VI. Screenshots of Trainee Interface.docx	Form and Instruction
1 Application Attachment VI - G Screenshots of the CareerTrac Trainee Portal.docx	Form
Att 1 NIEHS Data Collection Form.xlsx NIEHS Data Collection Form	IC Document
Att 1 NIEHS Data Collection Form.xlsx NIEHS Data Collection Form	IC Document

IC Title:

Trainees

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	Application	Attachment VI - G Screenshots of the CareerTrac Trainee Portal.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-25-0014 Clinical Research: Student Records, HHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60742

Number of Respondents: 5,000

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	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	3,333	3,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIEHS Data Collection Form	Att 1 NIEHS Data Collection Form.xlsx	02/26/2018

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