Form 3E CIRB Board Member Non-Disclosure Agreement (NDA) REV

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

3E - CIRB_New BMO_NDA_REV

CIRB New Board Member Non-Disclosure Agreement (NDA) (Attach 3E)

OMB: 0925-0625

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Attachment 3E:

CIRB New Board Member Orientation-Information

Attachment 3E: Non-Disclosure Agreement



OMB#: 0925 – 0625

Expiry Date: 01/31/2014

Collection of this information is authorized by The Public Health Service Act, Section 411 (42 USC 285a). Rights of your participation in the National Cancer Institute (NCI) Central Institutional Review Board (CIRB) Initiative is protected by The Privacy Act of 1974, as amended. The purpose of the information collection is to conduct reviews of clinical trial studies. Although your participation in NCI-sponsored research and completion of the forms is voluntary, if you wish to participate in the CIRB, you must complete all questions on the form. The information you provide will be combined for all participants and reported as summaries. It will be kept private to the extent provided by law.

NOTIFICATION TO RESPONDENT OF ESTIMATED BURDEN

Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0625). Do not return the completed form to this address.

 


New Board Member Orientation Page 2 of 2 NCI CIRB Initiative

File Typeapplication/msword
AuthorJennifer Dugan
Last Modified ByJennifer Dugan
File Modified2013-11-01
File Created2010-03-24

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