Information Collection

Attach 1A - CTSU IRB/Regulatory Approval Transmittal Form

IC 195153 under ICR 201601-0925-003 · OMB 0925-0624.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0624 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Attach 1A - CTSU IRB/Regulatory Approval Transmittal Form	Form and Instruction
1 Attachment 1-CTSU IRB Regulatory Approval Transmittal Fo Attachment 1-CTSU IRB Regulatory Approval Transmittal Form.pdf	Form and Instruction

IC Title:

Attach 1A - CTSU IRB/Regulatory Approval Transmittal Form

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	1	Attachment 1-CTSU IRB Regulatory Approval Transmittal Form	Attachment 1-CTSU IRB Regulatory Approval Transmittal Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Clinical, Basic and Population-based Research Studies of hte National Institutes of Health (NIH), HHS/NIH/OD

FR Citation: 67 FR 60776

Number of Respondents: 9,000

Number of Respondents for Small Entity: 2,700

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	108,000	108,000
Annual IC Time Burden (Hours)	3,600	3,600
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.