State Government Initial Request

Specimen Resource Location (SRL) NCI

OMB: 0925-0703

IC ID: 228617

Information Collection (IC) Details

View Information Collection (IC)

State Government Initial Request
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Initial Request A2 - Initial Request.docx Yes Yes Fillable Fileable

Health Health Care Services

 

70 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 70 0 0 0 0 70
Annual IC Time Burden (Hours) 35 0 0 0 0 35
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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