Information Collection

NIH-Duke

IC 226817 under ICR 202006-0925-001 · OMB 0925-0698.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0698 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 NIH-Duke	Form
2 NIH-Duke Attachement 5 NIH-Duke.pdf	Form

IC Title:

NIH-Duke

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2	NIH-Duke	Attachement 5 NIH-Duke.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Clinical Research: Student Records, HHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60741

Number of Respondents: 16

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 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-16	16
Annual IC Time Burden (Hours)	-5	5
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.