Fellowship Electronic PHS Human Subjects and Clinical Trial Information (includes inclusion enrollment report)

PHS Applications and Pre-award Related Reporting (OD)

OMB: 0925-0001

IC ID: 225109

Information Collection (IC) Details

View Information Collection (IC)

Fellowship Electronic PHS Human Subjects and Clinical Trial Information (includes inclusion enrollment report)
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 16 Landing Page Attachment 5F PHS Human Subjects and Clinical Trial Information - Landing Page_FORMS-F (002)-.pdf Yes Yes Fillable Fileable
Form and Instruction 17 Inclusion Enrollment Report Attachment 5F PHS Human Subjects and Clinical Trial Information - Inclusion Enrollment Report_FORMS-F (2).pdf Yes Yes Fillable Fileable
Form and Instruction 18 HSCT Sections 1-6 Attachment 5F PHS Human Subjects and Clinical Trial Information - Sections 1-6_Includes Inclusion Enrollment Report_FORMS-F-js edits2 (002).pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

5,030 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 0 0 0 -5,030 0 5,030
Annual IC Time Burden (Hours) 0 0 0 -70,420 0 70,420
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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