Information Collection Request

Centralized Institutional Review for the CDC Expanded Access Investigational New Device (EA-IND) for "Use of Tecovirimat (TPOXX®) for Treatment of Human Non-Variola Orthopoxvirus Infections.

ICR 202207-0920-012 · OMB 0920-1366 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
IRB Authorization Agreement (COMPLETION) Form and Instruction New Available
IRB Authorization Agreement (REVIEW) Form and Instruction New Available
Emergency Review Request Memo - Monkeypox-Central IRB for TPOXX IND-Rev-03AUG2022.docx Supplementary Document Uploaded 2022-08-03 Available
Supporting Statement A_MPX_IRB Emergency ICR_03AUG2022 FINAL.docx Supporting Statement A Uploaded 2022-08-03 Available
6402_EA IND_TPOXX_Attachment-1-Informed-Consent.pdf Supplementary Document Uploaded 2022-08-03 Available
6402_EA IND_TPOXX_Protocol.pdf Supplementary Document Uploaded 2022-08-03 Available
6402-EA IND_TPOXX_CDC-IRB-Approval-Continuation.pdf Supplementary Document Uploaded 2022-08-03 Available
Supporting Statement B_MPX_IRB Emergency ICR 28JUL2022.docx Supporting Statement B Uploaded 2022-07-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
255040 IRB Authorization Agreement (COMPLETION) Form and Instruction New
255039 IRB Authorization Agreement (REVIEW) Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2023 6 Months From Approved
55,000 0 0
13,333 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
IRB Authorization Agreement (COMPLETION) NA IRB Authorization Agreement
IRB Authorization Agreement (REVIEW) NA IRB Authorization Agreement

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 55,000 0 0 55,000 0 0
Annual Time Burden (Hours) 13,333 0 0 13,333 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No