CRTP/MRSP Alumni Survey

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

Documents and Forms

Document Name Document Type
Form 1 CRTP/MRSP Alumni Survey Form
1 Survey Attachment 2_CRTP_MRSP Alumni Survey.pdf Form
1 Survey Attachment 2_CRTP_MRSP Alumni Survey.pdf Form

Information Collection (IC) Details

IC Title:	CRTP/MRSP Alumni Survey	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Survey	Attachment 2_CRTP_MRSP Alumni Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0014 Clinical Research: Student Records, HHS/NIH/OD/OIR/OE	FR Citation: 67 FR 60741

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	267	267
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.