OMB
.report
Search
Attach 1F - CTSU Roster Update Form
Cancer Trials Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI)
OMB: 0925-0624
IC ID: 195157
OMB.report
HHS/NIH
OMB 0925-0624
ICR 201604-0925-004
IC 195157
( )
Documents and Forms
Document Name
Document Type
Form 6
Attach 1F - CTSU Roster Update Form
Form and Instruction
6 CTSU Roster Update Form
attachment_1f_ruf.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Attach 1F - CTSU Roster Update Form
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
6
CTSU Roster Update Form
attachment_1f_ruf.pdf
Yes
No
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 hte National Institutes of Health (NIH), HHS/NIH/OD
FR Citation:
67 FR 60776
Number of Respondents:
50
Number of Respondents for Small Entity:
15
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
600
0
0
0
0
600
Annual IC Time Burden (Hours)
40
0
0
0
0
40
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.