UP or SCN Reporting Form (Attachment B44)

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⚠️ Notice: This information collection may be referencing outdated material.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 60 UP or SCN Reporting Form (Attachment B44) Form and Instruction
Form 60 UP or SCN Reporting Form (Attachment B44) Form and Instruction
60 Unanticipated Problem Worksheet att_B44 - Unanticipated_Problem_Worksheet_022017.pdf Form and Instruction
60 Unanticipated Problem Worksheet att_B44 - Unanticipated_Problem_Worksheet_022017.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	UP or SCN Reporting Form (Attachment B44)	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	60	Unanticipated Problem Worksheet	att_B44 - Unanticipated_Problem_Worksheet_022017.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: 360	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	360	360
Annual IC Time Burden (Hours)	120	120
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.