Information Collection

Institutional Review Board/Independent Ethics Committee Registration Form

IC 10412 under ICR 201206-0990-005 · OMB 0990-0279.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0279 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0279-IRB- Registration Form__Proposed_June 2012_to Toni.doc	Other-form
IRB Registration_Form_0990-0279_Instructions_Proposed_ 2012.doc IRB Registration_Form_0990-0279_Instructions_Proposed_ 2012	IC Document

IC Title:

Institutional Review Board/Independent Ethics Committee Registration Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 46.103

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
Other-form			0990-0279-IRB- Registration Form__Proposed_June 2012_to Toni.doc		No	No	Printable Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12,200	200	12,000
Annual IC Time Burden (Hours)	12,200	200	12,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IRB Registration_Form_0990-0279_Instructions_Proposed_ 2012	IRB Registration_Form_0990-0279_Instructions_Proposed_ 2012.doc	06/20/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.