Information Collection Request

[OS] 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 202302-0920-004 · OMB 0920-1404 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920 CDC IRB Authorization Agreement (REVIEW) Form and Instruction New Available
Form 0920 CDC IRB Authorization Agreement (COMPLETE) Form and Instruction New Repair queued
Form 0920 CDC IRB Authorization Agreement (COMPLETE) Form and Instruction New Available
Form 0920 IRB Authorization Agreement (REVIEW) Form and Instruction New Repair queued
Supporting Statement B - TPOXX.docx Supporting Statement B Uploaded 2023-02-27 Repair queued
Emergency Review Request Memo - Monkeypox-Central IRB for TPOXX IND-Rev-03AUG2022 (2).docx Supplementary Document Uploaded 2023-02-27 Repair queued
EA IND_TPOXX_Informed-Consent.pdf Supplementary Document Uploaded 2023-02-27 Repair queued
6402_EA IND_TPOXX_Protocol (1).pdf Supplementary Document Uploaded 2023-02-27 Repair queued
6402-EA IND_TPOXX_CDC-IRB-Approval-Continuation (1).pdf Supplementary Document Uploaded 2023-02-27 Available
Supporting Statement A - TPOXX.docx Supporting Statement A Uploaded 2023-02-27 Repair queued
Authorizing Legislations.docx Supplementary Document Uploaded 2023-02-27 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
258781 CDC IRB Authorization Agreement (COMPLETE) Form and Instruction NewCDC IRB Authorization Agreement (REVIEW)
258781 CDC IRB Authorization Agreement (COMPLETE) Form and Instruction New
258780 IRB Authorization Agreement (REVIEW) Form and Instruction NewCDC IRB Authorization Agreement (COMPLETE)
258780 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
05/31/2026 36 Months From Approved
5,500 0 0
1,333 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
CDC IRB Authorization Agreement (COMPLETE) 0920
IRB Authorization Agreement (REVIEW) 0920

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 5,500 0 0 5,500 0 0
Annual Time Burden (Hours) 1,333 0 0 1,333 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No