IPPCR Final Course Evaluation (General Public)

Application and Impact of Online Clinical Research Training Programs on Healthcare Professionals in Industry, Academia, and Clinical Research, Office of Clinical Research, OD, NIH

Documents and Forms

Document Name Document Type
Form 1 IPPCR Final Course Evaluation (General Public) Form
1 Evaluation IPPCR Final Course Evaluation.docx Form
1 Evaluation IPPCR Final Course Evaluation.docx Form
IPPCR Final Course Evaluation (3).doc IPPCR Final Course Evaluation (Word Version) IC Document
IPPCR Final Course Evaluation (3).doc IPPCR Final Course Evaluation (Word Version) IC Document

Information Collection (IC) Details

IC Title:	IPPCR Final Course Evaluation (General Public)	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	Evaluation	IPPCR Final Course Evaluation.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0014 entitled Clinical Research: Student Records, HHS/NIH/OD/OIR/OE	FR Citation: 67 FR 60742

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,000	0	1,000
Annual IC Time Burden (Hours)	83	-84	167
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
IPPCR Final Course Evaluation (Word Version)	IPPCR Final Course Evaluation (3).doc	09/20/2019

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