NCI CIRB Signatory Enrollment Form (Attachment B2)

CTEP Branch Support Contracts Forms and Surveys (NCI)

Documents and Forms

Document Name Document Type
Form 19 NCI CIRB Signatory Enrollment Form (Attachment B2) Form and Instruction
19 NCI CIRB Signatory Enrollment Form Attachment_B02 - NCI_CIRB_Enrollment_Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	NCI CIRB Signatory Enrollment Form (Attachment B2)	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	19	NCI CIRB Signatory Enrollment Form	Attachment_B02 - NCI_CIRB_Enrollment_Form.pdf		No		Paper Only

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: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	13	13
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.