CRU Form Sample with screen shots

Chimpanzee Research Use Form

OMB: 0925-0705

IC ID: 212595

Information Collection (IC) Details

View Information Collection (IC)

CRU Form Sample with screen shots
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 CRU Form Attach 6_CRU Form Sample w screen shots.docx Yes Yes Fillable Fileable
Form and Instruction 1 Revised CRU Form REVISED Attach 6_CRU Form Sample w screen shots (6).docx Yes Yes Fillable Fileable

Health Health Care Services

 

20 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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 10 0 -30 0 0 40
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CRU Form Guidance Attach 7_CRU Form Guidance.pdf 08/06/2014
Draft Emails to Respondents Attach 8_Draft Emails to Respondents.docx 08/06/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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