Doctoral student Graduates Interview and Email Request

Research Mentoring Dyad Study

Documents and Forms

Document Name Document Type
0990-(Dyad) StudentnameEmailRequest 3AppendixC 1 B.doc Other-Email
0990-(Dyad) DOCTORAL STUDENT RECRUITMENT SCRIPTAPPENDIX C 2 B.doc Other-Script
0990-(DYAD) Doctoralstudentinterviewprotocol 7AppendixC 3 B.doc Other-interview
0990-(Dyad) DoctoralStudentFrequentlyaskedquestionAppendixC 5 B.doc Frequently asked questions IC Document
0990- (Dyad) DoctoralStudentAppendixC 6 B (2).doc Doctoral Students Consent Forms IC Document

Information Collection (IC) Details

IC Title:	Doctoral student Graduates Interview and Email Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Email	0990-(Dyad) StudentnameEmailRequest 3AppendixC 1 B.doc	Yes	Yes	Paper Only
Other-Script	0990-(Dyad) DOCTORAL STUDENT RECRUITMENT SCRIPTAPPENDIX C 2 B.doc	Yes	Yes	Paper Only
Other-interview	0990-(DYAD) Doctoralstudentinterviewprotocol 7AppendixC 3 B.doc	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Frequently asked questions	0990-(Dyad) DoctoralStudentFrequentlyaskedquestionAppendixC 5 B.doc	12/23/2009
Doctoral Students Consent Forms	0990- (Dyad) DoctoralStudentAppendixC 6 B (2).doc	12/23/2009

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