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Cancer-Related Cognitive Impairment (CRCI) Clinical Trials Planning Meeting (CTPM) (NCI)
Conference, Meeting, Workshop, and Poster Session Registration Generic Clearance (OD)
OMB: 0925-0740
IC ID: 245896
OMB.report
HHS/NIH
OMB 0925-0740
ICR 202201-0925-002
IC 245896
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0740 can be found here:
2022-10-19 - No material or nonsubstantive change to a currently approved collection
2022-08-04 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form 1
Cancer-Related Cognitive Impairment (CRCI) Clinical Trials Planning Meeting (CTPM) (NCI)
Form
1 CRCI Registration
Cancer-Related Cognitive Impairment (CRCI) Clinical Trials Planning Meeting Registration.pdf
Form
1 CRCI Registration
Cancer-Related Cognitive Impairment (CRCI) Clinical Trials Planning Meeting Registration.pdf
Form
Sub Study - Cancer Related Clinical Trials FINAL.docx
sub-study for CRCI registration
IC Document
Sub Study - Cancer Related Clinical Trials FINAL.docx
sub-study for CRCI registration
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cancer-Related Cognitive Impairment (CRCI) Clinical Trials Planning Meeting (CTPM) (NCI)
Agency IC Tracking Number:
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
1
CRCI Registration
Cancer-Related Cognitive Impairment (CRCI) Clinical Trials Planning Meeting Registration.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
56
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
56
0
0
0
0
56
Annual IC Time Burden (Hours)
2
0
0
0
0
2
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
sub-study for CRCI registration
Sub Study - Cancer Related Clinical Trials FINAL.docx
02/18/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.