Information Collection

Initial Registration

IC 221667 under ICR 201908-0925-008 · OMB 0925-0600.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0600 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Initial Registration	Form and Instruction
1 NCI CTRP Registration Screenshots Attach_3a_NCI CTRP Registration Screenshots.DOC	Form and Instruction
2 Attach 5A CTRP Registry Complete Batch Template Attach_5A_CTRP_Registry_Complete_Batch_Template.xlsx	Form and Instruction
3 Attach 5B CTRP Registry Complete Trial Participating Sit Attach_5B_CTRP_Registry_Complete_Trial_Participating_Sites_Template.xlsx	Form and Instruction

IC Title:

Initial Registration

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	NCI CTRP Registration Screenshots	Attach_3a_NCI CTRP Registration Screenshots.DOC	Yes	Yes	Fillable Fileable
Form and Instruction	2	Attach 5A CTRP Registry Complete Batch Template	Attach_5A_CTRP_Registry_Complete_Batch_Template.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	3	Attach 5B CTRP Registry Complete Trial Participating Sites Template	Attach_5B_CTRP_Registry_Complete_Trial_Participating_Sites_Template.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.