Clinical Electives Program (CEP

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)

Documents and Forms

Document Name Document Type
Form 1 Clinical Electives Program (CEP Form and Instruction
1 Application Attachment 1_Clinical Electives Program.pdf Form and Instruction
1 Application Attachment 1_Clinical Electives Program.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Clinical Electives Program (CEP	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 and Instruction	1	Application	Attachment 1_Clinical Electives Program.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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

Number of Respondents: 300	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	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	100	100
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.