Information Collection

IPPCR Final Course Evaluation (Students)

IC 237783 under ICR 202603-0925-001 · OMB 0925-0764.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Evaluation IPPCR Final Course Evaluation (Students)	Form
1 Evaluation IPPCR Final Course Evaluation.docx	Form
IPPCR Final Course Evaluation (3).doc IPPCR Final Course (Word Version)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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				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: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-2,000	2,000
Annual IC Time Burden (Hours)	-167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IPPCR Final Course (Word Version)		09/18/2019

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

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