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CTEP Branch Support Contracts Forms and Surveys (NCI)

Attachment_A21_DTLSigning Revised 1.26

OMB: 0925-0753

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Delegation of Tasks Log (DTL) – Signing Multiple and Single DTL Options
#1 – Summary Landing Page for Multiple DTL Signing: Shows all DTLs that require Clinical Investigator
signature. (Note – names are blocked out.)
Link to public statement OMB#0925-0753, Expiration Date: 7/31/2021

Link will take the user to the public statement:
OMB #0925-0753
Expiration Date: 07/31/2021
Public reporting burden for the collection of information is estimated to average 10 minutes per site/protocol Delegation of Tasks Log (DTL).
Including the time to review changes to existing DTLs and review new DTLs as applicable. An Agency many not conduct or sponsor, and a
person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: NIH,
Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (OMB#0925-0753). Do not return the
completed form to this address.

#2 – Review DTL Options for Multiple DTL Signing: Task Assignment Browser View for all selected DTLs

#2a – Review DTL Options for Multiple DTL Signing: View by Assignee/Task option for all selected DTLs

#2b – Review DTL Options for single or multiple DTL Signing: View by Manage Site DTL for single DTL

#3 – Multiple DTL Signing Page: Attestation text will vary depending if the site is a U.S. site or other
country that can sign attesting to U.S. or ICH/GCP regulations. This example shows the U.S. regulatory
language.

#4: Single DTL Signing – PDF Generation: Attestation text will vary depending if the site is a U.S. site or
other country that can sign attesting to U.S. or ICH/GCP regulations. This example shows the ICH/GCP
language.


File Typeapplication/pdf
File TitleMicrosoft Word - A21_DTLSigning.docx
Authorhering_m
File Modified2021-01-29
File Created2021-01-19

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