One Time Study Roll Over Worksheet (Attach 2ZA)

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

OMB: 0925-0625

IC ID: 209441

Information Collection (IC) Details

View Information Collection (IC)

One Time Study Roll Over Worksheet (Attach 2ZA)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2ZA One Time Study Roll Over Worksheet REV 2ZA_One Time Study Rollover Worksheet About Local Context_REV.docx Yes Yes Fillable Fileable

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) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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