Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0263 can be found here:

Documents and Forms

Document Name Document Type
Form 0990-0263 Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption Form
0990-0263 Certification Form 0990-0263-Protection of Human Subjects.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0990-0263	Certification Form	0990-0263-Protection of Human Subjects.doc		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	70,000	-96,667	166,667
Annual IC Time Burden (Hours)	35,000	-20,500	55,500
Annual IC Cost Burden (Dollars)	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.