Information Collection

NCI CIRB Signatory Enrollment Form (Attachment B2)

IC 225873 under ICR 202111-0925-002 · OMB 0925-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0753 can be found here:

Documents and Forms

Document Name Document Type
Form 19 NCI CIRB Signatory Enrollment Form (Attachment B2) Form and Instruction
19 NCI CIRB Signatory Enrollment Form Attachment_B02 - NCI_CIRB_Enrollment_Form.pdf Form and Instruction
19 NCI CIRB Signatory Enrollment Form Attachment_B02 - NCI_CIRB_Enrollment_Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCI CIRB Signatory Enrollment Form (Attachment B2)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	19	NCI CIRB Signatory Enrollment Form	Attachment_B02 - NCI_CIRB_Enrollment_Form.pdf		No		Paper Only

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: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	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.