Study Closure or Transfer of Study Review Responsibility Form (Attachment B43)

CTEP Branch Support Contracts Forms and Surveys (NCI)

⚠️ Notice: This information collection may be referencing outdated material.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 59 Study Closure or Transfer of Study Review Responsibility Form (Attachment B43) Form
59 Study Closure Transfer Worksheet Attachment_B43_Study_Closure_Transfer_Worksheet_Clean.pdf Form
59 Study Closure Transfer Worksheet Attachment_B43_Study_Closure_Transfer_Worksheet_Clean.pdf Form

Information Collection (IC) Details

IC Title:	Study Closure or Transfer of Study Review Responsibility Form (Attachment B43)	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	59	Study Closure Transfer Worksheet	Attachment_B43_Study_Closure_Transfer_Worksheet_Clean.pdf		Yes	Yes	Fillable Fileable

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: 1,680	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	1,680	1,680
Annual IC Time Burden (Hours)	420	420
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.