Information Collection

Study Review Responsibility Transfer Form (SRRT) (Attach 2M)

IC 195537 under ICR 201106-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 14 Study Review Responsibility Transfer Form (SRRT) (Attach 2M)	Form and Instruction
14 Study Review Responsibility Transfer Form Attachment 2M - Study Review Responsibility Transfer form_110110.pdf www.ncicirb.org/members/StudyAcceptanceReport.asp	Form and Instruction
14a Study Review Responsibility Transfer Form Attach 2M - SSRT_Change with Highlights.pdf	Form and Instruction
14a Study Review Responsibility Transfer Form (SRRT) Attach 2M - SRRT_NEW.pdf	Form and Instruction

IC Title:

Study Review Responsibility Transfer Form (SRRT) (Attach 2M)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	14	Study Review Responsibility Transfer Form	Attachment 2M - Study Review Responsibility Transfer form_110110.pdf	http://www.ncicirb.org/members/StudyAcceptanceReport.asp	Yes	Yes	Fillable Fileable
Form and Instruction	14a	Study Review Responsibility Transfer Form	Attach 2M - SSRT_Change with Highlights.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	14a	Study Review Responsibility Transfer Form (SRRT)	Attach 2M - SRRT_NEW.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: 120

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	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	20	20
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.