Locally-Developed Material Submission Form (Attach 5E)

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

OMB: 0925-0625

IC ID: 209443

Information Collection (IC) Details

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Locally-Developed Material Submission Form (Attach 5E)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 17 Locally-Developed Material Submission Form 5E_Locally-Developed_Material_Submission_Form 022812.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

15 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 15 0 15 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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