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NCI/DCTD/CTEP FDA Form 1572 for Annual Submission (Attachment E01)
CTEP Branch Support Contracts Forms and Surveys (NCI)
OMB: 0925-0753
IC ID: 230002
OMB.report
HHS/NIH
OMB 0925-0753
ICR 202411-0925-001
IC 230002
( )
Documents and Forms
Document Name
Document Type
Form 91
NCI/DCTD/CTEP FDA Form 1572 for Annual Submission (Attachment E01)
Form and Instruction
91 CTEP FDA Form 1572 for Annual Submission
PMB_Attachment_E01_CTEP_FDA_Form_1572.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NCI/DCTD/CTEP FDA Form 1572 for Annual Submission (Attachment E01)
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
91
CTEP FDA Form 1572 for Annual Submission
PMB_Attachment_E01_CTEP_FDA_Form_1572.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
26,500
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
26,500
0
0
0
0
26,500
Annual IC Time Burden (Hours)
6,625
0
0
0
0
6,625
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.