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Pharmacist's Review of a Cooperative Group Study (Attachment B21)
CTEP Branch Support Contracts Forms and Surveys (NCI)
OMB: 0925-0753
IC ID: 225891
OMB.report
HHS/NIH
OMB 0925-0753
ICR 202012-0925-003
IC 225891
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0753 can be found here:
2024-03-28 - Revision of a currently approved collection
2023-07-14 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 37
Pharmacist's Review of a Cooperative Group Study (Attachment B21)
Form and Instruction
37 Adult Ped FB Pharma Adult Reviewer Worksheet
Attachment_B21_FB_Pharma_Reviewer Worksheet.pdf
Form and Instruction
37 Adult Ped FB Pharma Adult Reviewer Worksheet
Attachment_B21_FB_Pharma_Reviewer Worksheet.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Pharmacist's Review of a Cooperative Group Study (Attachment B21)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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 and Instruction
37
Adult Ped FB Pharma Adult Reviewer Worksheet
Attachment_B21_FB_Pharma_Reviewer Worksheet.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:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
50
0
0
0
0
50
Annual IC Time Burden (Hours)
100
0
0
0
0
100
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.