OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Biospecimen Request

IC 233987 under ICR 202412-0925-001 · OMB 0925-0744.

Documents and Forms
Document Name
Document Type
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Form
Form
IC Document
IC Document
Information Collection (IC) Details

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Biospecimen Request
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Biospecimen Request Attachment A.2-5_Biospecimen Request_OMB 0925-0744_2024 0215.docx Yes Yes Fillable Fileable

Health Health Care Services

Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD  67 FR 60742

4 0
   
Individuals or Households
 
   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 4 0 0 0 0 4
Annual IC Time Burden (Hours) 4 0 0 0 0 4
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Manual Biospecimen Request Submission Form Manual Biospecimen Request Submission Form - UAT.pdf 12/10/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.