Doctors, Students and Others

Impact of Clinical Research Training and Medical Education at the Clinical Center on Physician Careers in Academia and Clinical Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0602 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Doctors, Students and Others Form and Instruction
1 MSRP MRSP-CRTP Alumni Survey-Screen Shots.pdf Form and Instruction
2 IPPCR IPPCR 12 Month Survey Screenshots.pdf Form and Instruction
3 PCP PCP Alumni Survey 1yr Screenshots.pdf Form and Instruction
4 CEP Clinical Electives Program Alumni Survey-Screen Shots.pdf Form and Instruction
5 GME GME Alumni Survey Screen Shots.pdf Form and Instruction
6 REP Resident Elective Participant Survey.pdf Form and Instruction
7 Duke Alumni Survey NIH-Duke Program Alumni Survey.pdf Form and Instruction
8 Sabbatical in Clinical Research Management Sabbatical 1 Year Followup Survey.pdf Form and Instruction
9 Ph.D Student Simmer Course PhD Student Summer Course 1 Year Followup Survey.pdf Form and Instruction
10 Summer Internship Survey Summer Internship Program Alumni Survey.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Doctors, Students and Others	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	MSRP	MRSP-CRTP Alumni Survey-Screen Shots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	IPPCR	IPPCR 12 Month Survey Screenshots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	3	PCP	PCP Alumni Survey 1yr Screenshots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	4	CEP	Clinical Electives Program Alumni Survey-Screen Shots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	5	GME	GME Alumni Survey Screen Shots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	6	REP	Resident Elective Participant Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	7	Duke Alumni Survey	NIH-Duke Program Alumni Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	8	Sabbatical in Clinical Research Management	Sabbatical 1 Year Followup Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	9	Ph.D Student Simmer Course	PhD Student Summer Course 1 Year Followup Survey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	10	Summer Internship Survey	Summer Internship Program Alumni Survey.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 785	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	785	785
Annual IC Time Burden (Hours)	262	262
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.