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Pediatric Amendment of Cooperative Group Protocol (Attachment B20)
CTEP Branch Support Contracts Forms and Surveys (NCI)
OMB: 0925-0753
IC ID: 225890
OMB.report
HHS/NIH
OMB 0925-0753
ICR 202411-0925-001
IC 225890
( )
Documents and Forms
Document Name
Document Type
Form 36
Pediatric Amendment of Cooperative Group Protocol (Attachment B20)
Form and Instruction
36 Ped AR FB Reviewer Worksheet
Attachment_B20_AR_FB_Pediatric_Reviewer Worksheet.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pediatric Amendment of Cooperative Group Protocol (Attachment B20)
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
36
Ped AR FB Reviewer Worksheet
Attachment_B20_AR_FB_Pediatric_Reviewer Worksheet.pdf
Yes
Yes
Fillable Fileable
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:
25
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
25
0
0
0
0
25
Annual IC Time Burden (Hours)
50
0
0
0
0
50
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.