NCI CIRB Institution Enrollment Worksheet (Attach 2C)

NIH NCI Central Institutional Review Board (CIRB) Initiative (NCI)

OMB: 0925-0625

IC ID: 195525

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NCI CIRB Institution Enrollment Worksheet (Attach 2C)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2c NCI CIRB Signatory 2C_NCI_CIRB_Enrollment_Form_06212013.doc Yes Yes Fillable Fileable

Health Health Care Services

09-25-0200 "Clinical, Basic and Population-based Research Studies of the Natonal Institutes of Health (NIH), HHS/NIH/OD"  67 FR 60776

40 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 40 0 10 0 0 30
Annual IC Time Burden (Hours) 160 0 55 0 0 105
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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