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Information Collection

Potential Unanticipated Problem or Serious or Continuing Noncompliance Reporting Form (Attach 2V)

IC 209436 under ICR 201402-0925-001 · OMB 0925-0625.

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Form and Instruction
Form and Instruction
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Potential Unanticipated Problem or Serious or Continuing Noncompliance Reporting Form (Attach 2V)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2V Potential Unanticipated Problem or Serious or Continuing Noncompliance Reporting Form REV 2V_Potential UP_SCN_Form_011513_screenshot_REV2.docx Yes Yes Fillable Printable

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

120 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 120 0 0 0 0 120
Annual IC Time Burden (Hours) 30 0 0 0 0 30
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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