Resident Elective Program (REP)

Application Process for Clinical Research Training and Medical Education at the Clinical Center and its impact on Course and Training Program Enrollment and Effectiveness (CC)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0698 can be found here:

Documents and Forms

Document Name Document Type
Form 4 Resident Elective Program (REP) Form
4 Resident Electives Program Attachment 4_Resident Electives Program (1).pdf Form

Information Collection (IC) Details

IC Title:	Resident Elective Program (REP)	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	4	Resident Electives Program	Attachment 4_Resident Electives Program (1).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Clinical Research: Student Records	FR Citation: 67 FR 60741

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

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	100	10	90
Annual IC Time Burden (Hours)	33	3	30
Annual IC Cost Burden (Dollars)	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.