Information Collection Request

Specimen Resource Location (SRL) NCI

ICR 201710-0925-001 · OMB 0925-0703 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 Federal Government Annual Update Form New Available
Form 2 State Government Annual Update Form New Available
Form 2 Private Sector Annual Update Form New Available
Form 1 Federal Government Initial Request Form New Repair queued
Form 1 State Government Initial Request Form New Available
Form 1 Private Sector Initial Request Form New Available
Form 1 Federal Government Annual Update Form and Instruction Removed Available
Form 1 State Government Annual Update - Form and Instruction Removed Available
Form 1 Private Sector Annual Update Form and Instruction Removed Available
Form 1 Federal Government Initial Request - Web Screenshot Form and Instruction Removed Available
Form 1 State Government Initial Request - Website Screenshots Form and Instruction Removed Available
Form 1 Private Sector Initial Request - Website Screenshots Form and Instruction Removed Available
30-day FRN2017-22156.pdf Supplementary Document Uploaded 2017-10-13 Available
A4_PrivacyActMemo-032714.docx Supplementary Document Uploaded 2017-10-12 Available
A1_SRL-InviteLetter.doc Supplementary Document Uploaded 2017-10-12 Available
SRL Final SSA.docx Supporting Statement A Uploaded 2017-10-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228621 Federal Government Annual Update Form New
228620 State Government Annual Update Form New
228619 Private Sector Annual Update Form New
228618 Federal Government Initial Request Form New
228617 State Government Initial Request Form New
228616 Private Sector Initial Request Form New
212172 Federal Government Annual Update Form and Instruction Removed
212168 State Government Annual Update - Form and Instruction Removed
212167 Private Sector Annual Update Form and Instruction Removed
212166 Federal Government Initial Request - Web Screenshot Form and Instruction Removed
211914 State Government Initial Request - Website Screenshots Form and Instruction Removed
211913 Private Sector Initial Request - Website Screenshots Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2020 36 Months From Approved 08/31/2017
250 0 250
105 0 105
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 250 250 0 0 0 0
Annual Time Burden (Hours) 105 105 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No