Adult/Pediatric CIRB Application - Ancillary Studies (Attach 5B )

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

OMB: 0925-0625

IC ID: 195545

Information Collection (IC) Details

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Adult/Pediatric CIRB Application - Ancillary Studies (Attach 5B )
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 22 Adult/Pediatric CIRB Application - Ancillary Studies 5B_Application_Ancillary Protocol Review_021911.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

10 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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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