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Federal forms, ICRs, and supporting documents

Information Collection

Electronic Transmittal of Clinical Variables Archived in Clinic Databases--Data Manager/no form

IC 209255 under ICR 201311-0920-005 · OMB 0920-1002.

Documents and Forms
Document Name
Document Type
Other-Records/Data extraction
Information Collection (IC) Details

View Information Collection (IC)

Electronic Transmittal of Clinical Variables Archived in Clinic Databases--Data Manager/no form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Records/Data extraction App 14 Informed consent forms.docx No No Paper Only

Health Consumer Health and Safety

 

6 0
   
Individuals or Households
 
   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 24 0 24 0 0 0
Annual IC Time Burden (Hours) 576 0 576 0 0 0
Annual IC Cost Burden (Dollars) 11,667 0 11,667 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.