Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Bench to Bedside: Cardiovascular Module-- Attitude survey pre and post test (Federal) New 360 30 0 Form and Instruction 1
Bench to Bedside: Cardiovascular Module-- Attitude survey pre and post test (Private) New 210 18 0 Form and Instruction 1
Bench to Bedside: Cardiovascular Module-- Attitude survey pre and post test (individual) New 30 3 0 Form and Instruction 1
Bench to Bedside: Cardiovascular Module-- Knowledge check (Federal) New 180 30 0 Form 6
Bench to Bedside: Cardiovascular Module-- Knowledge check (Private) New 105 18 0 Form 6
Bench to Bedside: Cardiovascular Module-- Knowledge check (individual) New 15 3 0 Form 6
Bench to Bedside: Cardiovascular Module-- Module completion (Federal) New 180 180 0 Form and Instruction 2
Bench to Bedside: Cardiovascular Module-- Module completion (individual) New 15 15 0 Form and Instruction 2
Bench to Bedside: Cardiovascular Module-- Module completion (private) New 105 105 0 Form and Instruction 2
Bench to Bedside: Cardiovascular Module-- Module evaluation (Federal) New 30 3 0 Form 5
Bench to Bedside: Cardiovascular Module-- Module evaluation (Private) New 17 1 0 Form 5
Bench to Bedside: Cardiovascular Module-- Module evaluation (individual) New 3 0 0 Form 5
Bench to Bedside: Cardiovascular Module-- Outcomes Evaluation (Federal) New 30 3 0 Form 4
Bench to Bedside: Cardiovascular Module-- Outcomes Evaluation (Private) New 17 1 0 Form 4
Bench to Bedside: Cardiovascular Module-- Outcomes Evaluation (individual) New 3 0 0 Form 4
Bench to Bedside: Neurology Module-- Attitude survey pre and post test (Federal) New 360 30 0 Form and Instruction 1
Bench to Bedside: Neurology Module-- Attitude survey pre and post test (Private) New 210 18 0 Form and Instruction 1
Bench to Bedside: Neurology Module-- Attitude survey pre and post test (individual New 30 3 0 Form and Instruction 1
Bench to Bedside: Neurology Module-- Knowledge check (Federal) New 180 30 0 Form 8
Bench to Bedside: Neurology Module-- Knowledge check (Private) New 105 18 0 Form 8
Bench to Bedside: Neurology Module-- Knowledge check (individual) New 15 3 0 Form 8
Bench to Bedside: Neurology Module-- Module completion (Federal) New 180 180 0 Form and Instruction 2
Bench to Bedside: Neurology Module-- Module completion (Private) New 105 105 0 Form and Instruction 2
Bench to Bedside: Neurology Module-- Module completion (individual) New 15 15 0 Form and Instruction 2
Bench to Bedside: Neurology Module-- Module evaluation (Federal) New 30 3 0 Form 5
Bench to Bedside: Neurology Module-- Module evaluation (Private) New 17 1 0 Form 5
Bench to Bedside: Neurology Module-- Module evaluation (individual) New 3 0 0 Form 5
Bench to Bedside: Neurology Module-- Outcomes Evaluation (Federal) New 30 3 0 Form 4
Bench to Bedside: Neurology Module-- Outcomes Evaluation (individual) New 3 0 0 Form 4
Bench to Bedside: Neurology Module--Outcomes Evaluation (Private) New 17 1 0 Form 4
Sex as a Biological Variable: A Primer-- Attitude survey pre and post test (Federal) New 1440 120 0 Form and Instruction 1
Sex as a Biological Variable: A Primer-- Attitude survey pre and post test (Private) New 840 70 0 Form and Instruction 1
Sex as a Biological Variable: A Primer-- Attitude survey pre-test (individual) New 120 10 0 Form and Instruction 1
Sex as a Biological Variable: A Primer-- Course completion (individual) New 60 60 0 Form and Instruction 2
Sex as a Biological Variable: A Primer-- Course completion (Federal) New 720 720 0 Form and Instruction 2
Sex as a Biological Variable: A Primer-- Course completion (Private) New 420 420 0 Form and Instruction 2
Bench to Bedside Immunology Module -- Knowledge check (Federal) New 180 30 0 Form 3
Bench to Bedside Immunology Module -- Knowledge check (Individual) New 15 3 0 Form 3
Bench to Bedside Immunology Module -- Module Evaluation (Federal) New 30 3 0 Form 5
Bench to Bedside Immunology Module -- Module Evaluation (individual) New 3 0 0 Form 5
Bench to Bedside Immunology Module -- Module evaluation (Private) New 17 1 0 Form 5
Bench to Bedside Immunology Module -- Outcomes Evaluation (Private) New 17 1 0 Form 4
Bench to Bedside Immunology Module -- Outcomes Evaluation (individual) New 3 0 0 Form 4
Bench to Bedside Immunology Module Attitude survey pre and post test (Federal) New 360 30 0 Form and Instruction 1
Bench to Bedside Immunology Module Attitude survey pre and post test (individual) New 30 3 0 Form and Instruction 1
Bench to Bedside Immunology Module Attitude survey pre and post test (private sector) New 210 18 0 Form and Instruction 1
Bench to Bedside Immunology Module Completion (Federal) New 180 180 0 Form and Instruction 2
Bench to Bedside Immunology Module Completion (Individual) New 15 15 0 Form and Instruction 2
Bench to Bedside Immunology Module Completion (Private) New 105 105 0 Form and Instruction 2
Bench to Bedside Immunology Module-- Knowledge check (Private) New 105 18 0 Form 3
Bench to Bedside Immunology Module-- Outcomes Evaluation (Federal) New 30 3 0 Form 4
Bench to Bedside: Endocrinology Module-- Attitude survey pre and post test (Federal) New 360 30 0 Form and Instruction 1
Bench to Bedside: Endocrinology Module-- Attitude survey pre and post test (Private) New 210 18 0 Form and Instruction 1
Bench to Bedside: Endocrinology Module-- Attitude survey pre and post test (individual) New 30 3 0 Form and Instruction 1
Bench to Bedside: Endocrinology Module-- Knowledge check (Federal) New 180 30 0 Form 9
Bench to Bedside: Endocrinology Module-- Knowledge check (Private) New 105 18 0 Form 9
Bench to Bedside: Endocrinology Module-- Knowledge check (individual) New 15 3 0 Form 9
Bench to Bedside: Endocrinology Module-- Module completion (Federal) New 180 180 0 Form and Instruction 2
Bench to Bedside: Endocrinology Module-- Module completion (Private) New 105 105 0 Form and Instruction 2
Bench to Bedside: Endocrinology Module-- Module completion (individual) New 15 15 0 Form and Instruction 2
Bench to Bedside: Endocrinology Module-- Module evaluation (Federal) New 30 3 0 Form 5
Bench to Bedside: Endocrinology Module-- Module evaluation (Private) New 17 1 0 Form 5
Bench to Bedside: Endocrinology Module-- Module evaluation (individual) New 3 0 0 Form 5
Bench to Bedside: Endocrinology Module-- Outcomes Evaluation (Federal) New 30 3 0 Form 4
Bench to Bedside: Endocrinology Module-- Outcomes Evaluation (Private) New 17 1 0 Form 4
Bench to Bedside: Endocrinology Module-- Outcomes Evaluation (individual) New 3 0 0 Form 4
Bench to Bedside: Mental Health Module-- Attitude survey pre and post test (Federal) New 360 30 0 Form and Instruction 1
Bench to Bedside: Mental Health Module-- Attitude survey pre and post test (Private) New 210 18 0 Form and Instruction 1
Bench to Bedside: Mental Health Module-- Attitude survey pre and post test (individual) New 30 3 0 Form and Instruction 1
Bench to Bedside: Mental Health Module-- Knowledge check (Federal) New 180 30 0 Form 10
Bench to Bedside: Mental Health Module-- Knowledge check (Private) New 105 18 0 Form 10
Bench to Bedside: Mental Health Module-- Knowledge check (individual) New 15 3 0 Form 10
Bench to Bedside: Mental Health Module-- Module completion (Federal) New 180 180 0 Form and Instruction 2
Bench to Bedside: Mental Health Module-- Module completion (Private) New 105 105 0 Form and Instruction 2
Bench to Bedside: Mental Health Module-- Module completion (individual) New 15 15 0 Form and Instruction 2
Bench to Bedside: Mental Health Module-- Module evaluation (Federal) New 30 3 0 Form 5
Bench to Bedside: Mental Health Module-- Module evaluation (Private) New 17 1 0 Form 5
Bench to Bedside: Mental Health Module-- Module evaluation (individual) New 3 0 0 Form 5
Bench to Bedside: Mental Health Module-- Outcomes Evaluation (Federal) New 30 3 0 Form 4
Bench to Bedside: Mental Health Module-- Outcomes Evaluation (Private) New 17 1 0 Form 4
Bench to Bedside: Mental Health Module-- Outcomes Evaluation (individual) New 3 0 0 Form 4
Bench to Bedside: Pulmonary Module-- Attitude survey pre and post test (individual) New 30 3 0 Form and Instruction 1
Bench to Bedside: Pulmonary Module-- Attitude survey pre and post-test (Federal) New 360 30 0 Form and Instruction 1
Bench to Bedside: Pulmonary Module-- Attitude survey pre and post-test (Private) New 210 18 0 Form and Instruction 1
Bench to Bedside: Pulmonary Module-- Knowledge check (Federal) New 180 30 0 Form 7
Bench to Bedside: Pulmonary Module-- Knowledge check (Private) New 105 18 0 Form 7
Bench to Bedside: Pulmonary Module-- Knowledge check (individual) New 15 3 0 Form 7
Bench to Bedside: Pulmonary Module-- Module completion (Federal) New 180 180 0 Form and Instruction 2
Bench to Bedside: Pulmonary Module-- Module completion (Private) New 105 105 0 Form and Instruction 2
Bench to Bedside: Pulmonary Module-- Module completion (individual) New 15 15 0 Form and Instruction 2
Bench to Bedside: Pulmonary Module-- Module evaluaion (Federal) New 30 3 0 Form 5
Bench to Bedside: Pulmonary Module-- Module evaluation (Private) New 17 1 0 Form 5
Bench to Bedside: Pulmonary Module-- Module evaluation (individual) New 3 0 0 Form 5
Bench to Bedside: Pulmonary Module-- Outcomes Evaluation (Federal) New 30 3 0 Form 4
Bench to Bedside: Pulmonary Module-- Outcomes Evaluation (individual) New 3 0 0 Form 4
Bench to Bedside: Pulmonary Module--Outcomes Evaluation (Private) New 17 1 0 Form 4
Sex as a Biological Variable: A Primer-- Course evaluation (individual) New 60 10 0 Form 11
Form 12
Form 13
Form 14
Sex as a Biological Variable: A Primer-- Knowledge check (Federal) New 720 120 0 Form 11
Form 12
Form 13
Form 14
Sex as a Biological Variable: A Primer-- Knowledge check (Private) New 420 70 0 Form 11
Form 12
Form 13
Form 14
Total burden requested under this ICR: 12600 4060 0  
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