Information Collection Request

Specimen Resource Location (SRL) NCI

ICR 202008-0925-001 · OMB 0925-0703 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 Annual email Update Form Modified Available
Form 2 Annual Email Update Form Modified Available
Form 2 Annual email Update Form Modified Available
Form 1 Initial Request screenshot Form Modified Available
Form 1 Initial Request screenshot Form Modified Available
Form 1 Private Sector Initial Request Form Modified Repair queued
30-day FRN 2020-19446.pdf Supplementary Document Uploaded 2020-09-03 Available
A4 - Privacy Act Memo - SRL.pdf Supplementary Document Uploaded 2020-08-26 Available
A1 - Invitation Letter (2).docx Supplementary Document Uploaded 2020-08-26 Available
SSA - SRL - Extension FINAL.docx Supporting Statement A Uploaded 2020-08-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228621 Federal Government Annual Update Form ModifiedAnnual email Update
228620 State Government Annual Update Form ModifiedAnnual Email Update
228619 Private Sector Annual Update Form ModifiedAnnual email Update
228618 Federal Government Initial Request Form ModifiedInitial Request screenshot
228617 State Government Initial Request Form ModifiedInitial Request screenshot
228616 Private Sector Initial Request Form Modified
228616 Private Sector Initial Request Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2023 36 Months From Approved 11/30/2020
250 0 250
105 0 105
0 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
Federal Government Annual Update 2
Federal Government Initial Request 1
Private Sector Annual Update 2
Private Sector Initial Request 1
State Government Annual Update 2
State Government Initial Request 1

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