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Federal forms, ICRs, and supporting documents

Information Collection

Conversation Record (Resident FTE Assessment)

IC 211277 under ICR 202509-0915-004 · OMB 0915-0247.

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Document Name
Document Type
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Form
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Information Collection (IC) Details

View Information Collection (IC)

Conversation Record (Resident FTE Assessment)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CR Conversation Record (FTE Resident Assessment) Conversation Record (FTE Resident Assessment).docx Yes Yes Fillable Fileable

Health Health Care Services

Graduate Medical Education (GME) Full-Time Equivalent (FTE) Resident Assessment Records – 09-15-0070 (CLEARANCE IN PROCESS)  1 FR 1

30 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60 0 0 0 0 60
Annual IC Time Burden (Hours) 220 0 0 0 0 220
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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