Change of Signatory Institution PI Form (Attach 2ZB)

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

Documents and Forms

Document Name Document Type
Form 2ZB Change of Signatory Institution PI Form (Attach 2ZB) Form and Instruction
2ZB Change of Signatory Institution PI Form REV 2ZB_Change of SI_PI_Form__REV.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Change of Signatory Institution PI Form (Attach 2ZB)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2ZB	Change of Signatory Institution PI Form REV	2ZB_Change of SI_PI_Form__REV.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0200 "Clinical, Basic and Population-based Research Studies of the Natonal Institutes of Health (NIH), HHS/NIH/OD"	FR Citation: 67 FR 60776

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.