Prostate Supplemental Questionnaire

Resource for the Collection and Evaluation of Human Tissues and Cells from Donors with an Epidemiology Profile (NCI)

OMB: 0925-0623

IC ID: 194464

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Prostate Supplemental Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Prostate Supplemental Questionnaire Attach 7 - Supp Questionnaire for Prostate-No.2.doc Yes Yes Fillable Printable

Health Public Health Monitoring

Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD  67 FR 60776

125 0
   
Individuals or Households
 
   0 %

  Requested 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 125 0 125 0 0 0
Annual IC Time Burden (Hours) 63 0 63 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.

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