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Federal forms, ICRs, and supporting documents

Information Collection

PHS Human Subjects and Clinical Trial Information (Part of Final RPPR, includes inclusion/enrollment)

IC 225115 under ICR 202408-0925-003 · OMB 0925-0002.

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

View Information Collection (IC)

PHS Human Subjects and Clinical Trial Information (Part of Final RPPR, includes inclusion/enrollment)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Form Attachment 5B_HumanSubjectStudy_3_0-V3.0_Sections 1-6.pdf Yes Yes Fillable Fileable
Form 2 Form Attachment 5B_PHSHumanSubjectsAndClinicalTrialsInfo_3_0-V3.0.pdf Yes Yes Fillable Fileable
Form 3 Form Attachment 5B_PHSInclusionEnrollmentReport-V1.0.pdf Yes Yes Fillable Fileable
Instruction Attachment 5B_PHS HSCT Form_Instructions_FORMS-I.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

3,600 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 3,600 0 0 0 0 3,600
Annual IC Time Burden (Hours) 14,400 0 0 0 0 14,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.