CTSU PDF Signature Form (Attachment A21)

CTEP Branch Support Contracts Forms and Surveys (NCI)

Documents and Forms

Document Name Document Type
Form 81 CTSU PDF Signature Form (Attachment A21) Form
81 Elec Sig Page Attachment_A21_DTLSigning Revised 1.26.pdf Form

Information Collection (IC) Details

IC Title:	CTSU PDF Signature Form (Attachment A21)	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	81	Elec Sig Page	Attachment_A21_DTLSigning Revised 1.26.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH)	FR Citation: 67 FR 60742

Number of Respondents: 400	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	4,000	4,000
Annual IC Time Burden (Hours)	667	667
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.