Form 76 ETCTN PI Survey

CTEP Support Contracts Forms and Surveys (NCI)

attachment_C12_ETCTN PIsurvey

ETCTN PI Survey (Attachment C12)

OMB: 0925-0753

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0925-0753 can be found here:

2024-11-12 - No material or nonsubstantive change to a currently approved collection
2024-08-29 - No material or nonsubstantive change to a currently approved collection

Document [pdf]

Download: pdf | pdf

OMB #0925-xxxx
Expiration Date: xx/xx/xxxx

Attachment_C12_ECTCN_PI_survey

15

15

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Note: 3a appears conditionally, populated with any items selected for “I have…” in
Q3.

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Note: 6a and 6b appear conditionally; 6a is populated with any items selected for “I
have…” in Q6. 6b appears if 6a appears.

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Note: 7a appears conditionally if “have not opened” is selected for any protocol in
Q7.

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

Attachment_C12_ECTCN_PI_survey

File Type	application/pdf
Author	barbara
File Modified	2017-02-20
File Created	2016-09-28