Pathologist Administrative Form (Attachment 8)

A multi-center international hospital-based case-control study of lymphoma in Asia (AsiaLymph) (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0654 can be found here:

Documents and Forms

Document Name Document Type
Form 2 Pathologist Administrative Form (Attachment 8) Form and Instruction
2 Pathologist Administrative Form Attach 8 - Pathologists Admin forms_2-26-12.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Pathologist Administrative Form (Attachment 8)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	2	Pathologist Administrative Form	Attach 8 - Pathologists Admin forms_2-26-12.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19	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
Annual Number of Responses for this IC	1,102	1,102
Annual IC Time Burden (Hours)	92	92
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.