OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Clinical Research Participants

IC 197342 under ICR 201401-0925-006 · OMB 0925-0458.

Documents and Forms
Document Name
Document Type
Form
Form
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Clinical Research Participants
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Patient Survey 3rd Party Patient Survey.NIH Clinical Center.docx Yes Yes Paper Only

Health Public Health Monitoring

 

378 0
   
Individuals or Households
 
   0 %

  Requested 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 378 0 378 0 0 0
Annual IC Time Burden (Hours) 38 0 38 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
3rd Party Study Mini-Supporting Statement - Clinical Center 3rd Party Study Mini-Supporting Statement - Clinical Center.docx 04/13/2011
3rd Party Study Generic Clearance Form (2) 3rd Party Study Generic Clearance Form (2).docx 04/13/2011
3rd Party Study Mini-Supporting Statement REVISED - Clinical Center (2) 3rd Party Study Mini-Supporting Statement REVISED - Clinical Center (2).docx 04/21/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.