CIRB Board member Annual Assessment Survey (Attachment C7)

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⚠️ Notice: This information collection may be referencing outdated material.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 71 CIRB Board member Annual Assessment Survey (Attachment C7) Form
Form 71 CIRB Board member Annual Assessment Survey (Attachment C7) Form
71 CIRB Board Member Annual Assessment Attachment_C07_CIRB Board Member Annual Assessment_11-20-17.pdf Form
71 CIRB Board Member Annual Assessment Attachment_C07_CIRB Board Member Annual Assessment_11-20-17.pdf Form

Information Collection (IC) Details

IC Title:	CIRB Board member Annual Assessment Survey (Attachment C7)	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	71	CIRB Board Member Annual Assessment	Attachment_C07_CIRB Board Member Annual Assessment_11-20-17.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: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
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.