OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Information Program on Clinical Trials for Serious and Life-Threatening Diseases: Maintaining a Databank

IC 182781 under ICR 200711-0910-004 · OMB 0910-0459.

Documents and Forms
Document Name
Document Type
Other-Data Element Definitions (CMS)
Information Collection (IC) Details

View Information Collection (IC)

Information Program on Clinical Trials for Serious and Life-Threatening Diseases: Maintaining a Databank
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data Element Definitions (CMS) 0459CMS portion Instrument Data Element Definitions.doc No No Paper Only

Health Consumer Health and Safety

 

745 0
   
Private Sector Businesses or other for-profits
 
   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 745 0 745 0 0 0
Annual IC Time Burden (Hours) 4,172 0 4,172 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.