Eligible Resident/Fellow FTE Chart and Instructions

The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart

Documents and Forms

Document Name Document Type
Form 1 Eligible Resident/Fellow FTE Chart and Instructions Form and Instruction
1 Form and Instructions for THCGME FTE Chart Form and Instructions for THCGME FTE Chart.docx Form and Instruction
1 Form and Instructions for THCGME FTE Chart Form and Instructions for THCGME FTE Chart.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Eligible Resident/Fellow FTE Chart and Instructions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	Form and Instructions for THCGME FTE Chart	Form and Instructions for THCGME FTE Chart.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	113	113
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.