Study-Specific Worksheet About Local Context (Atttach 2T)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0625 can be found here:

Documents and Forms

Document Name Document Type
Form 8 Study-Specific Worksheet About Local Context (Atttach 2T) Form and Instruction
8 Study-Specific Work sheet About Local Context 2T_Study-Specific Worksheet About LC 122012_screenshot doc_REV.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Study-Specific Worksheet About Local Context (Atttach 2T)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8	Study-Specific Work sheet About Local Context	2T_Study-Specific Worksheet About LC 122012_screenshot doc_REV.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0200 "Clinical, Basic and Population-based Research Studies of the Natonal Institutes of Health (NIH), HHS/NIH/OD"	FR Citation: 67 FR 60776

Number of Respondents: 220	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	73	73
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.