Adult Expedited Amendment Review (Attachment B23)

CTEP Branch Support Contracts Forms and Surveys (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0753 can be found here:

Documents and Forms

Document Name Document Type
Form 39 Adult Expedited Amendment Review (Attachment B23) Form and Instruction
39 Adult & CPC Expedited Reviewer Worksheet Attachment_B23_AR_ER_LPE_EPE_CPC_Reviewer_Worksheet.pdf Form and Instruction
39 Adult & CPC Expedited Reviewer Worksheet Attachment_B23_AR_ER_LPE_EPE_CPC_Reviewer_Worksheet.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Adult Expedited Amendment Review (Attachment B23)	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	39	Adult & CPC Expedited Reviewer Worksheet	Attachment_B23_AR_ER_LPE_EPE_CPC_Reviewer_Worksheet.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

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

Number of Respondents: 348	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	348	348
Annual IC Time Burden (Hours)	174	174
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.