Information Collection

NCI CRCHD Grantee

IC 205837 under ICR 202405-0925-001 · OMB 0925-0568.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 NCI CRCHD Grantee	Form and Instruction
3 NCI CRCHD screenshots III. Screenshots of the NCI CRCHD Program CareerTrac database.docx	Form and Instruction
1 Application Attachment V - E Screenshots of the NCI-CRCHD CareerTrac Database.docx	Form

IC Title:

NCI CRCHD Grantee

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Application	Attachment V - E Screenshots of the NCI-CRCHD CareerTrac Database.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 0925-0014 Clinical Research: Student Records, HHS/NIH/OD/OIR/OE

FR Citation: 67 FR 60742

Number of Respondents: 244

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,368	5,368
Annual IC Time Burden (Hours)	3,579	3,579
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.