Adult Expedited Amendment Review (Attach 6M)

NIH NCI Central Institutional Review Board (CIRB) Initiative (NCI)

Documents and Forms

Document Name Document Type
Form 6M Adult Expedited Amendment Review (Attach 6M) Form and Instruction
6M Adult Expedited Amendment Review REV 6M_AR_ER_ADULT_Reviewer Worksheet_REV.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Adult Expedited Amendment Review (Attach 6M)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6M	Adult Expedited Amendment Review REV	6M_AR_ER_ADULT_Reviewer Worksheet_REV.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: 350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	175	175
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.