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Study Closure or Transfer of Study Review Responsibility Form (Attachment B43)
CTEP Branch Support Contracts Forms and Surveys (NCI)
OMB: 0925-0753
IC ID: 225915
OMB.report
HHS/NIH
OMB 0925-0753
ICR 201906-0925-003
IC 225915
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for 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
Documents and Forms
Document Name
Document Type
Form 59
Study Closure or Transfer of Study Review Responsibility Form (Attachment B43)
Form
59 Study Closure Transfer Worksheet
B43_Study_Closure_Transfer_Worksheet_112017.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Study Closure or Transfer of Study Review Responsibility Form (Attachment B43)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
59
Study Closure Transfer Worksheet
B43_Study_Closure_Transfer_Worksheet_112017.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
1,680
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
1,680
0
0
0
0
1,680
Annual IC Time Burden (Hours)
560
0
0
0
0
560
Annual IC Cost Burden (Dollars)
0
0
0
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.