NCI Grantee

CareerTrac

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0568 can be found here:

Documents and Forms

Document Name Document Type
Form 3 NCI Grantee Form and Instruction
3 NCI CRCHD screenshots Att 6. NCI-CRCHD OMB Screenshots.docx Form and Instruction

Information Collection (IC) Details

IC Title:	NCI Grantee	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	3	NCI CRCHD screenshots	Att 6. NCI-CRCHD OMB Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 0925-0014 Clinical Research: Student Records, HHS/NIH/OD/OIR/OE	FR Citation: 67 FR 60742

Number of Respondents: 264	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	Previously Approved
Annual Number of Responses for this IC	5,808	528	5,280
Annual IC Time Burden (Hours)	2,904	264	2,640
Annual IC Cost Burden (Dollars)	0	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.