CIRB Member COI Screening Worksheet (Attachment B8)

CTEP Branch Support Contracts Forms and Surveys (NCI)

Documents and Forms

Document Name Document Type
Form 24 CIRB Member COI Screening Worksheet (Attachment B8) Form
Form 24 CIRB Member COI Screening Worksheet (Attachment B8) Form
24 CIRB COI Update Attachment_B08_CIRB_CoI__OMB-Update.pdf Form
24 CIRB COI Update Attachment_B08_CIRB_CoI__OMB-Update.pdf Form

Information Collection (IC) Details

IC Title:	CIRB Member COI Screening Worksheet (Attachment B8)	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	24	CIRB COI Update	Attachment_B08_CIRB_CoI__OMB-Update.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: 100	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	100	100
Annual IC Time Burden (Hours)	25	25
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.