2024 Clinical Pharmacology Training Network (CPTN) Virtual Trainee/Scholar Orientation Post-Meeting Assessment (NICHD)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

Documents and Forms

Document Name Document Type
Form 1 2024 Clinical Pharmacology Training Network (CPTN) Virtual Trainee/Scholar Orientation Post-Meeting Assessment (NICHD) Form
1 Survey CPTN Virtual Orientation Survey.pdf Form
CPTN Orientation Email.docx Email Correspondence IC Document
Substudy_NICHD_2024 CPTN Orientation.docx Template IC Document

Information Collection (IC) Details

IC Title:	2024 Clinical Pharmacology Training Network (CPTN) Virtual Trainee/Scholar Orientation Post-Meeting Assessment (NICHD)	Agency IC Tracking Number:

IC Status: New

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	1	Survey	CPTN Virtual Orientation Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service	FR Citation: 83 FR 6591

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Email Correspondence	CPTN Orientation Email.docx	08/09/2024
Template	Substudy_NICHD_2024 CPTN Orientation.docx	08/09/2024

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