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Reference Letter
Intramural Continuing Umbrella of Research Experiences (iCURE) Applications (NCI)
OMB: 0925-0758
IC ID: 233551
OMB.report
HHS/NIH
OMB 0925-0758
ICR 201911-0925-001
IC 233551
( )
Documents and Forms
Document Name
Document Type
Form 4
Reference Letter
Form
4 Request for Reference iCURE Program
Attach4-Request for Reference _ iCURE Program_6222018.pdf
Form
Attach6-Burden Statement.pdf
Burden Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Reference Letter
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
4
Request for Reference iCURE Program
Attach4-Request for Reference _ iCURE Program_6222018.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Clinical Research; Student Records, HHS/PHS/NIH/OD/OIR/OE
FR Citation:
67 FR 60742
Number of Respondents:
240
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
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
240
0
0
0
0
240
Annual IC Time Burden (Hours)
120
0
0
0
0
120
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Burden Statement
Attach6-Burden Statement.pdf
10/16/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.