Information Collection

Adult CIRB Reviewer Findings - Initial Review of Cooperative Group Protocol (Attach 6A)

IC 195548 under ICR 201012-0925-001 · OMB 0925-0625.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0625 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 25 Adult CIRB Reviewer Findings - Initial Review of Cooperative Group Protocol (Attach 6A)	Form and Instruction
25 Adult CIRB Reviewer Findings - Initial Review of Coopera Attachment 6A - CIRB Adult_Initial_Review_Form_110110.pdf	Form and Instruction

IC Title:

Adult CIRB Reviewer Findings - Initial Review of Cooperative Group Protocol (Attach 6A)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	25	Adult CIRB Reviewer Findings - Initial Review of Cooperative Group Protocol	Attachment 6A - CIRB Adult_Initial_Review_Form_110110.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 09-25-0200 "Clinical, Basic and Population-based Research Studies of the Natonal Institutes of Health (NIH), HHS/NIH/OD"

FR Citation: 67 FR 60776

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.