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CTSU Request for Clinical Brochure (Attachment A6)
CTEP Branch Support Contracts Forms and Surveys (NCI)
OMB: 0925-0753
IC ID: 225847
OMB.report
HHS/NIH
OMB 0925-0753
ICR 202411-0925-001
IC 225847
( )
Documents and Forms
Document Name
Document Type
Form 6
CTSU Request for Clinical Brochure (Attachment A6)
Form and Instruction
6 Clinical Brochure
Attachment_A06_clinbroch_102221_Clean.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CTSU Request for Clinical Brochure (Attachment A6)
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
6
Clinical Brochure
Attachment_A06_clinbroch_102221_Clean.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Clinical Basic and Population-based Research Studies of the National Institutes of Health
FR Citation:
67 FR 60742
Number of Respondents:
360
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
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
360
0
0
0
0
360
Annual IC Time Burden (Hours)
60
0
0
0
0
60
Annual IC Cost Burden (Dollars)
0
0
0
0
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.