Applicants

Application for the Pharmacology Research Associate Program

Documents and Forms

Document Name Document Type
Form 1 Applicants Form and Instruction
1 PRAT NIH 2121-1 Attachment 4 PRAT Application Primary (NIH 2121-1).pdf Form and Instruction
3 Application Preceptor Selection Verification Attachment 6 PRAT Application Preceptor Selection Verification (2).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Applicants	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	PRAT NIH 2121-1	Attachment 4 PRAT Application Primary (NIH 2121-1).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	3	Application Preceptor Selection Verification	Attachment 6 PRAT Application Preceptor Selection Verification (2).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	200	200
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.