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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)
OMB: 0925-0602
IC ID: 237574
OMB.report
HHS/NIH
OMB 0925-0602
ICR 202407-0925-001
IC 237574
( )
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
View Information Collection (IC)
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
Federal Enterprise Architecture Business Reference Module
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 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
800
0
800
0
0
0
Annual IC Time Burden (Hours)
267
0
267
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.