OMB
.report
Search
Basic Study Information Form (Attachment F01)
CTEP Branch Support Contracts Forms and Surveys (NCI)
OMB: 0925-0753
IC ID: 265729
OMB.report
HHS/NIH
OMB 0925-0753
ICR 202408-0925-004
IC 265729
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0753 can be found here:
2024-11-12 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Basic Study Information Form (Attachment F01)
Form
Form 1
Basic Study Information Form (Attachment F01)
Form
1 Registration
Attachment F01 - NCI dbGaP Initial Study Registration Form Aug 2023.pdf
Form
1 Registration
Attachment F01 - NCI dbGaP Initial Study Registration Form Aug 2023.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Basic Study Information Form (Attachment F01)
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
1
Registration
Attachment F01 - NCI dbGaP Initial Study Registration Form Aug 2023.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
140
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
140
0
0
0
0
140
Annual IC Time Burden (Hours)
47
0
0
0
0
47
Annual IC Cost Burden (Dollars)
0
0
0
0
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.