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CIRB Board Member Application (Attachment B3)
CTEP Branch Support Contracts Forms and Surveys (NCI)
OMB: 0925-0753
IC ID: 229989
OMB.report
HHS/NIH
OMB 0925-0753
ICR 202408-0925-004
IC 229989
( )
Documents and Forms
Document Name
Document Type
Form 82
CIRB Board Member Application (Attachment B3)
Form
Form 82
CIRB Board Member Application (Attachment B3)
Form
82 Board member application
Attachment_B03 _ Board Member Application.pdf
Form
82 Board member application
Attachment_B03 _ Board Member Application.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CIRB Board Member Application (Attachment B3)
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
82
Board member application
Attachment_B03 _ Board Member Application.pdf
Yes
Yes
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 the National Institutes of Health (NIH)
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
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
100
0
0
0
0
100
Annual IC Time Burden (Hours)
50
0
0
0
0
50
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.
