CPC Pharmacist's Review of Cooperative Group Study (Attachment B22)

CTEP Support Contracts Forms and Surveys (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0753 can be found here:

Documents and Forms

Document Name Document Type
Form 38 CPC Pharmacist's Review of Cooperative Group Study (Attachment B22) Form and Instruction
38 CPC FB Pharma Reviewer Worksheet att_B22 - CPC - FB_Pharma_Reviewer Worksheet_111414.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	CPC Pharmacist's Review of Cooperative Group Study (Attachment B22)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	38	CPC FB Pharma Reviewer Worksheet	att_B22 - CPC - FB_Pharma_Reviewer Worksheet_111414.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Clinical Basic and Population-based Research Studies of the National Institutes of Health	FR Citation: 67 FR 60742

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	40	40
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.