CTSU LPO Approval for Early Closure Form (Attachement A23)

CTEP Branch Support Contracts Forms and Surveys (NCI)

Documents and Forms

Document Name Document Type
Form 1 CTSU LPO Approval for Early Closure Form (Attachement A23) Form
Form 1 CTSU LPO Approval for Early Closure Form (Attachement A23) Form
1 Early Closure Form Attachment A23_CTSU-EarlyClosureForm_20240122.docx Form
1 Early Closure Form Attachment A23_CTSU-EarlyClosureForm_20240122.docx Form

Information Collection (IC) Details

IC Title:	CTSU LPO Approval for Early Closure Form (Attachement A23)	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	1	Early Closure Form	Attachment A23_CTSU-EarlyClosureForm_20240122.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,444	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	14,664	14,664
Annual IC Time Burden (Hours)	4,888	4,888
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.