CIRB IR Application for Exempt Studies (Attachment B11)

CTEP Branch Support Contracts Forms and Surveys (NCI)

Documents and Forms

Document Name Document Type
Form 27 CIRB IR Application for Exempt Studies (Attachment B11) Form and Instruction
27 CIRB IR Exempt Application Attachment_B11_CIRB_IR Exempt Application.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	CIRB IR Application for Exempt Studies (Attachment B11)	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	27	CIRB IR Exempt Application	Attachment_B11_CIRB_IR Exempt Application.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: c	FR Citation: 67 FR 60742

Number of Respondents: 4	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: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	2	2
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.