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NCI D43 Grantee
CareerTrac
OMB: 0925-0568
IC ID: 245777
OMB.report
HHS/NIH
OMB 0925-0568
ICR 202102-0925-004
IC 245777
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0568 can be found here:
2024-05-29 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 4
NCI D43 Grantee
Form and Instruction
4 Screenshots of the NCI D43 Grantee
IV. Sreenshots of the NCI D43 Grantee.docx
Form and Instruction
4 Screenshots of the NCI D43 Grantee
IV. Sreenshots of the NCI D43 Grantee.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NCI D43 Grantee
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
4
Screenshots of the NCI D43 Grantee
IV. Sreenshots of the NCI D43 Grantee.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
0925-0014 Clinical Research: Student Records, HHS/NIH/OD/OIR/OE
FR Citation:
67 FR 60742
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
440
0
440
0
0
0
Annual IC Time Burden (Hours)
293
0
293
0
0
0
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.