398/424 PHS Human Subjects and Clinical Trial Information (includes inclusion enrollment report)

PHS Applications and Pre-award Related Reporting (OD)

OMB: 0925-0001

IC ID: 225108

Information Collection (IC) Details

View Information Collection (IC)

398/424 PHS Human Subjects and Clinical Trial Information (includes inclusion enrollment report)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 16 PHS Human Subjects and Clinical Trial Information - Landing Page Attachment 5F PHS Human Subjects and Clinical Trial Information - Landing Page.pdf Yes Yes Fillable Fileable
Form 17 PHS Human Subjects and Clinical Trial Information - Inclusion Enrollment Report Attachment 5F PHS Human Subjects and Clinical Trial Information - Inclusion Enrollment Report.pdf Yes Yes Fillable Fileable
Form 18 PHS Human Subjects and Clinical Trial Information - Sections 1-5 Attachment 5F PHS Human Subjects and Clinical Trial Information - Sections 1-5.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

54,838 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 54,838 0 0 0 0 54,838
Annual IC Time Burden (Hours) 767,732 0 0 0 0 767,732
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 5G PHS Human Subjects and Clinical Trials Information Instructions Attachment 5G PHS Human Subjects and Clinical Trial Information Instructions.docx 01/25/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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