Notification of Incarcerated Participant Form (Attachment B49)

CTEP Branch Support Contracts Forms and Surveys (NCI)

OMB: 0925-0753

IC ID: 245475

Information Collection (IC) Details

View Information Collection (IC)

Notification of Incarcerated Participant Form (Attachment B49)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 97 Attachment B49 Incarcerated Participant Wrksht Attachment_B49_Incarcerated_Participant_Wrksht.pdf Yes Yes Fillable Fileable

Health Health Care Services

09-25-0200, “Clinical Basic and Population-based Research Studies of the NIH/HHS/OD  67 FR 60742

20 0
   
Private Sector Not-for-profit institutions
 
   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 20 0 20 0 0 0
Annual IC Time Burden (Hours) 7 0 7 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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