Protection of Human Subjects: Assurance Identification/ Certification/Declaration

ICR 199712-0925-001

OMB: 0925-0418

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0925-0418 199712-0925-001
Historical Active 199410-0925-001
HHS/NIH
Protection of Human Subjects: Assurance Identification/ Certification/Declaration
Extension without change of a currently approved collection   No
Regular
Approved without change 01/20/1998
Retrieve Notice of Action (NOA) 12/09/1997
  Inventory as of this Action Requested Previously Approved
01/31/2001 01/31/2001 01/31/1998
217,634 0 1
164,428 0 1
0 0 0

As required by Public Law 95-622, the Secretary, HHS, shall, on behalf of affected Federal departments and agencies that are subject to the Federal Policy for the Protection of Human Subjects, require applicant and awardee institutions receiving Federal funds to initiate procedures to report, disclose, and keep required records for protection of human subjects of research.

None
None


No

1
IC Title Form No. Form Name
Protection of Human Subjects: Assurance Identification/ Certification/Declaration 310

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 217,634 1 0 217,633 0 0
Annual Time Burden (Hours) 164,428 1 0 164,427 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/09/1997


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