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Annual Principal Investigator Worksheet About Local Context (Attachment B41)
CTEP Branch Support Contracts Forms and Surveys (NCI)
OMB: 0925-0753
IC ID: 225913
OMB.report
HHS/NIH
OMB 0925-0753
ICR 202411-0925-001
IC 225913
( )
Documents and Forms
Document Name
Document Type
Form 57
Annual Principal Investigator Worksheet About Local Context (Attachment B41)
Form and Instruction
57 Annual PI Worksheet
Attachment B41 - PI Worksheet 04282022.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Annual Principal Investigator Worksheet About Local Context (Attachment B41)
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
57
Annual PI Worksheet
Attachment B41 - PI Worksheet 04282022.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:
1,800
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
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
1,800
0
0
0
0
1,800
Annual IC Time Burden (Hours)
600
0
0
0
0
600
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.