Attach 1Di_CTSU Site Addition Form

Cancer Trials Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI)

OMB: 0925-0624

IC ID: 199005

Documents and Forms
Information Collection (IC) Details

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Attach 1Di_CTSU Site Addition Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5 Attach 1Di_Site Addition Form Attach 1di_Add CTSU Site_Form_August2011.zip Yes No Fillable Fileable Signable

Health Health Care Services

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

25 10
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   50 %

  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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 25 0 0 0 0 25
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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