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

Forms and Documents

Document	Type	Status	Availability
0990-0263_ Assurance Identification IRB Certification Declaration of Exemption_ Mar2012 _Updated_12 March 2012.doc	Supporting Statement A	Uploaded 2012-03-14	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
10393	Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption	Other-form	Modified

ICR Details

OMB Control No: 0990-0263	ICR Reference No: 201201-0990-006
Status: Historical Active	Previous ICR Reference No: 200811-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No:
Title: Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/28/2012
	Date Received in OIRA: 01/24/2012
Terms of Clearance: OMB has corrected the burden tables to reflect adjustments in the estimates for this extension without change of a currently approved collection, consistent with updates to Supporting Statement A.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	36 Months From Approved	03/31/2012
Responses	24,000	0	70,000
Time Burden (Hours)	12,000	0	35,000
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this Form is to provide a simplified procedure for institutions engaged in research conducted or supported by the Department of Health and Human Services (HHS) to satisfy the requirements of HHS regulations for the protection of human subjects at 45 CFR 46.103. The respondents for this collection are institutions engaged in research involving human subjects where the research is supported by HHS. Institutional use of the form is also relied upon by other federal departments and agencies that have codified or follow the Federal Policy for the Protection of Human Subjects (Common Rule) which is identical to 45 CFR part 46, subpart A.

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Authorizing Statute(s): PL: Pub.L. 99 - 158 491 Name of Law: Health Research Extension Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 71037	11/16/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 3268	01/23/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption

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ICR Summary of Burden

	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	24,000	70,000	0	0	-46,000	0
Annual Time Burden (Hours)	12,000	35,000	0	0	-23,000	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The annual burden will decrease from 35,000 hours to 12,000. This decrease is due to adjustment (correction) in the number of responses per respondent from 7 to 2.

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Annual Cost to Federal Government: $400,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/24/2012

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