Attach 1AA - CTSU Patient Enrollment Transmittal Form

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

OMB: 0925-0624

IC ID: 195179

Information Collection (IC) Details

View Information Collection (IC)

Attach 1AA - CTSU Patient Enrollment Transmittal Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 27 Attach 1AA - CTSU Patient Enrollment Transmittal Form attach_1aa_ptenef.zip Yes No Fillable Printable

Health Health Care Services

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

600 180
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 7,200 0 0 0 0 7,200
Annual IC Time Burden (Hours) 1,200 0 0 0 0 1,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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