Information Collection

Ped Expedited Study Chair Response to Required Mod (Attach 6T)

IC 209453 under ICR 201311-0925-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 27 Ped Expedited Study Chair Response to Required Mod (Attach 6T)	Form and Instruction
27 Ped Expedited Study Chair Response to Required Mod (Atta 6T_Ped_ER_SCRWksht_v1.3_041513_Pediatric.doc	Form and Instruction

IC Title:

Ped Expedited Study Chair Response to Required Mod (Attach 6T)

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	27	Ped Expedited Study Chair Response to Required Mod (Attach 6T)	6T_Ped_ER_SCRWksht_v1.3_041513_Pediatric.doc		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: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
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.