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Institutional Certification Template

IC 234076 under ICR 202412-0925-001 · OMB 0925-0744.

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Document Type
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Form
Form
Information Collection (IC) Details

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Institutional Certification Template
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Institutional Certification Template Attachment A.2-3_Institutional Certification Template_OMB 0925 0744_2024.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

36 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 36 0 0 0 0 36
Annual IC Time Burden (Hours) 3 0 0 0 0 3
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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