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Amendment
The Clinical Trials Reporting Program (CTRP) Database (NCI)
OMB: 0925-0600
IC ID: 221668
OMB.report
HHS/NIH
OMB 0925-0600
ICR 202209-0925-003
IC 221668
( )
Documents and Forms
Document Name
Document Type
Form 4
Amendment
Form and Instruction
4 Attach 3c NCI CTRP Amendment Screenshots
Attachment 3c - NCI CTRP Amendment Screenshots.pdf
Form and Instruction
4 Attach 3c NCI CTRP Amendment Screenshots
Attachment 3c - NCI CTRP Amendment Screenshots.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Amendment
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
4
Attach 3c NCI CTRP Amendment Screenshots
Attachment 3c - NCI CTRP Amendment Screenshots.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,500
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
6,000
0
0
0
0
6,000
Annual IC Time Burden (Hours)
6,000
0
0
0
0
6,000
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.