Request for 30-Day Access Form (Attach 2A)

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

OMB: 0925-0625

IC ID: 195535

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Request for 30-Day Access Form (Attach 2A)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2a Request for 30 Day Website Access Form 2A_30-day Website Access Form_2011.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

25 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 25 0 -25 0 0 50
Annual IC Time Burden (Hours) 4 0 -4 0 0 8
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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