Information Collection

Trainee Diversity Report (part of RPPR)

IC 217449 under ICR 202408-0925-003 · OMB 0925-0002.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Trainee Diversity Report (part of RPPR)	Form
1 Form Attachment 7A_Trainee Diversity Report.pdf	Form
1 Form Attachment 7A_Trainee Diversity Report.pdf	Form
2 Form Attachment 7B_Trainee Diversity Report_xTrain Screenshot_07-2024.docx	Form
2 Form Attachment 7B_Trainee Diversity Report_xTrain Screenshot_07-2024.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	Form	Attachment 7A_Trainee Diversity Report.pdf		Yes	Yes	Fillable Fileable
Form	2	Form	Attachment 7B_Trainee Diversity Report_xTrain Screenshot_07-2024.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 480

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	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.