Attach 1C- CTSU Acknowledgement Form

Cancer Trials Support Unit (CTSU) Public Use Forms and Customer Satisfaction Surveys (NCI)

OMB: 0925-0624

IC ID: 195155

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Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Attach 1C- CTSU Acknowledgement Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 CTSU Acknowledgement Form attachment_1c_ctsuac.pdf Yes Yes Fillable Fileable Signable

Health Health Care Services

Clinical, Basic and Population-based Research Studies of hte National Institutes of Health (NIH), HHS/NIH/OD  67 FR 60776

500 150
   
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 6,000 0 0 0 0 6,000
Annual IC Time Burden (Hours) 500 0 0 0 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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