Information Collection

Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption

IC 10393 under ICR 202012-0990-001 · OMB 0990-0263.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0263 can be found here:

Documents and Forms

Document Name Document Type
0990-0263_Optional 310_ Proposed Form_updated_12 January 2012.rtf Other-form
0990-0263_Optional 310_ Proposed Form_updated_12 January 2012.rtf Other-form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-form			0990-0263_Optional 310_ Proposed Form_updated_12 January 2012.rtf		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	28,000	28,000
Annual IC Time Burden (Hours)	14,000	14,000
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.