Information Collection

Attach 1K - Site Initiated Data Update Form (DUF), Protocol: NCCTG N0147

IC 195163 under ICR 201312-0925-003 · OMB 0925-0624.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0624 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 11 Attach 1K - Site Initiated Data Update Form (DUF), Protocol: NCCTG N0147	Form and Instruction
11 Attach 1K - Site Initiated Data Update Form (DUF), Proto attach_1k_N0147duf.zip	Form and Instruction

IC Title:

Attach 1K - Site Initiated Data Update Form (DUF), Protocol: NCCTG N0147

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	11	Attach 1K - Site Initiated Data Update Form (DUF), Protocol: NCCTG N0147	attach_1k_N0147duf.zip		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

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

FR Citation: 67 FR 60776

Number of Respondents: 75

Number of Respondents for Small Entity: 25

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-900	900
Annual IC Time Burden (Hours)	-150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.