Diversity Summer Research Training Program (DSTRP) Feedback Form

Office of Minority Health Research Coordination (OMHRC) Research Training and Mentor Programs Applications (NIDDK)

Documents and Forms

Document Name Document Type
Form 4 Diversity Summer Research Training Program (DSTRP) Feedback Form Form and Instruction
Form 4 Diversity Summer Research Training Program (DSTRP) Feedback Form Form and Instruction
4 DSTRP Feedback Form (4) DSRTP Feedback Form.pdf Form and Instruction
4 DSTRP Feedback Form (4) DSRTP Feedback Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Diversity Summer Research Training Program (DSTRP) Feedback Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	4	DSTRP Feedback Form	(4) DSRTP Feedback Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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

Number of Respondents: 14	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	14	14
Annual IC Time Burden (Hours)	5	5
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.