Information Collection Request

Materials to Support NIH IRBs Serving As the Public Health Emergency Research Review Board (PHERRB) or as an IRB of Record for Outside Institutions

ICR 201611-0925-004 · OMB 0925-0751 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 3 CRLCW Form New Available
Form 2 IRLCW Form New Available
Form 1 APR Form New Available
PTMS_PIA_2012.pdf Supplementary Document Uploaded 2017-01-26 Available
Privacy Act Memo.pdf Supplementary Document Uploaded 2017-01-26 Available
30-day FRN2016-28140.pdf Supplementary Document Uploaded 2016-11-22 Available
Supporting Statement A_20161121.docx Supporting Statement A Uploaded 2016-11-22 Available
Attachment 1 PHERRB Terms of Reference , October 2012.doc Supplementary Document Uploaded 2016-11-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
224494 CRLCW Form New
224493 IRLCW Form New
224491 APR Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/29/2020 36 Months From Approved
520 0 0
790 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
CRLCW 3 Continuing Review Local Context Worksheet (CRLCW)
APR 1 Application for PHERB Review
IRLCW 2 Initial Review Local Context Worksheet (IRLCW)

table that charts list 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 520 0 0 520 0 0
Annual Time Burden (Hours) 790 0 0 790 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No