Information Collection

NCI/DCTD/CTEP FDA Form 1572 for Annual Submission (Attachment E01)

IC 230002 under ICR 202307-0925-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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 91 NCI/DCTD/CTEP FDA Form 1572 for Annual Submission (Attachment E01) Form and Instruction
Form 91 NCI/DCTD/CTEP FDA Form 1572 for Annual Submission (Attachment E01) Form and Instruction
91 CTEP FDA Form 1572 for Annual Submission PMB_Attachment_E01_CTEP_FDA_Form_1572.pdf Form and Instruction
91 CTEP FDA Form 1572 for Annual Submission PMB_Attachment_E01_CTEP_FDA_Form_1572.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCI/DCTD/CTEP FDA Form 1572 for Annual Submission (Attachment E01)	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	91	CTEP FDA Form 1572 for Annual Submission	PMB_Attachment_E01_CTEP_FDA_Form_1572.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH)	FR Citation: 67 FR 60742

Number of Respondents: 26,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	26,500	26,500
Annual IC Time Burden (Hours)	6,625	6,625
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.