OMB
.report
Search
Prospective Clinical Trial Survey (Attachment C10)
CTEP Branch Support Contracts Forms and Surveys (NCI)
OMB: 0925-0753
IC ID: 225928
OMB.report
HHS/NIH
OMB 0925-0753
ICR 202012-0925-003
IC 225928
( )
⚠️ Notice: This information collection may be referencing outdated material.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 74
Prospective Clinical Trial Survey (Attachment C10)
Form
74 Prospective Survey
attachment_C10_prospectivesurvey.pdf
Form
74 Prospective Survey
attachment_C10_prospectivesurvey.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Prospective Clinical Trial Survey (Attachment C10)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
74
Prospective Survey
attachment_C10_prospectivesurvey.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:
1,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
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
0
0
-1,000
0
0
1,000
Annual IC Time Burden (Hours)
0
0
-17
0
0
17
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.