Information Collection Request

Information Program on Clinical Trials: Maintaining a Registry and Results Databank (NLM)

ICR 202302-0925-001 · OMB 0925-0586 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Registration Data Entry Form Form and Instruction Modified Available
Form 1 Initial Data Entry Personnel Form Form and Instruction Modified Repair queued
Form 5 Expanded Access DED & PRS Forms Form and Instruction Modified Available
Form 5 Expanded Access records - Updates Form and Instruction Modified Repair queued
Form 5 Expanded Access DED & PRS Forms Form and Instruction Modified Available
Form 5 Expanded Access Records - Initial Form and Instruction Modified Repair queued
Form 4 Extension Request DED & PRS Forms Form and Instruction Modified Available
Form 4 Extension Requests and Appeals Form and Instruction Modified Repair queued
Form 3 Certification DED & PRS Forms Form and Instruction Modified Available
Form 3 Certification to Delay Results Form and Instruction Modified Repair queued
Form 2 Results Information Submission Data Entry Form Form and Instruction Modified Available
Form 2 Update Results Information of Voluntary and Non-regulated Submissions Form and Instruction Modified Repair queued
Form 2 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 2 Initial Results Information of Voluntary and Non-regulated Submissions Form and Instruction Modified Repair queued
Form 2 Results Information Submission Data Entry Form Form and Instruction Modified Available
Form 2 Update Results Information on Non-regulated Submissions related to the NIH Policy Form and Instruction Modified Repair queued
Form 2 Results Information Submission Data Entry Form Form and Instruction Modified Available
Form 2 Initial Results Information of Non-regulated Submissions related to the NIH policy Form and Instruction Modified Repair queued
Form 2 Results Information Submission Data Entry Form Form and Instruction Modified Available
Form 2 Results Triggered by Voluntary Submission Form and Instruction Modified Repair queued
Form 2 Results Information Submission Data Entry Form Form and Instruction Modified Available
Form 2 Updates Form and Instruction Modified Repair queued
Form 2 Results Information Submission Data Entry Form Form and Instruction Modified Available
Form 2 Initial Results Information Submission Form and Instruction Modified Repair queued
Form 1 Updated Registration of Voluntary and Non-regulated Submissions Form and Instruction Modified Repair queued
Form 1 Registration Data Entry Form Form and Instruction Modified Available
Form 1 Initial Registration of Voluntary and Non-regulated Submissions Form and Instruction Modified Repair queued
Form 1 Registration Data Entry Form Form and Instruction Modified Available
Form 1 Updated Registration of Non-regulated Submissions related to the NIH Policy Form and Instruction Modified Repair queued
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
Form 1 Initial Registration of Non-regulated Submissions related to NIH Policy Form and Instruction Modified Repair queued
Form 1 Registration Data Entry Form Form and Instruction Modified Available
Form 1 Registration Triggered by Voluntary Submission Form and Instruction Modified Repair queued
Form 1 Registration Data Entry Form Form and Instruction Modified Available
Form 1 Updates Data Entry Personnel Form and Instruction Modified Repair queued
Supporting Statement A - FINAL 01302023 (1).docx Supporting Statement A Uploaded 2023-02-08 Repair queued
pub 30-day FRN2023-02381.pdf Supplementary Document Uploaded 2023-02-06 Repair queued
Attachment 9 - Privacy Impact Assessment.docx Supplementary Document Uploaded 2023-02-06 Repair queued
Attachment 8 - Privacy Act Review (1).pdf Supplementary Document Uploaded 2023-02-06 Repair queued
Attachment 4 - Results Information Data Element Definitions (2021).pdf Supplementary Document Uploaded 2023-02-06 Repair queued
Attachment 1 - Registration Data Element Definitions (2020).pdf Supplementary Document Uploaded 2023-02-06 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6153 Initial Data Entry Personnel Form Form and Instruction ModifiedRegistration Data Entry Form
6153 Initial Data Entry Personnel Form Form and Instruction Modified
239370 Expanded Access records - Updates Form and Instruction ModifiedExpanded Access DED & PRS Forms
239370 Expanded Access records - Updates Form and Instruction Modified
239368 Expanded Access Records - Initial Form and Instruction ModifiedExpanded Access DED & PRS Forms
239368 Expanded Access Records - Initial Form and Instruction Modified
239366 Extension Requests and Appeals Form and Instruction ModifiedExtension Request DED & PRS Forms
239366 Extension Requests and Appeals Form and Instruction Modified
239365 Certification to Delay Results Form and Instruction ModifiedCertification DED & PRS Forms
239365 Certification to Delay Results Form and Instruction Modified
239364 Update Results Information of Voluntary and Non-regulated Submissions Form and Instruction ModifiedResults Information Submission Data Entry Form
239364 Update Results Information of Voluntary and Non-regulated Submissions Form and Instruction Modified
239363 Initial Results Information of Voluntary and Non-regulated Submissions Form and Instruction ModifiedResults Information Submission Data Entry Forms
239363 Initial Results Information of Voluntary and Non-regulated Submissions Form and Instruction Modified
239362 Update Results Information on Non-regulated Submissions related to the NIH Policy Form and Instruction ModifiedResults Information Submission Data Entry Form
239362 Update Results Information on Non-regulated Submissions related to the NIH Policy Form and Instruction Modified
239361 Initial Results Information of Non-regulated Submissions related to the NIH policy Form and Instruction ModifiedResults Information Submission Data Entry Form
239361 Initial Results Information of Non-regulated Submissions related to the NIH policy Form and Instruction Modified
239360 Results Triggered by Voluntary Submission Form and Instruction ModifiedResults Information Submission Data Entry Form
239360 Results Triggered by Voluntary Submission Form and Instruction Modified
239359 Updates Form and Instruction ModifiedResults Information Submission Data Entry Form
239359 Updates Form and Instruction Modified
239358 Initial Results Information Submission Form and Instruction ModifiedResults Information Submission Data Entry Form
239358 Initial Results Information Submission Form and Instruction Modified
239357 Updated Registration of Voluntary and Non-regulated Submissions Form and Instruction Modified
239357 Updated Registration of Voluntary and Non-regulated Submissions Modified
239356 Initial Registration of Voluntary and Non-regulated Submissions Form and Instruction ModifiedRegistration Data Entry Form
239356 Initial Registration of Voluntary and Non-regulated Submissions Form and Instruction Modified
239355 Updated Registration of Non-regulated Submissions related to the NIH Policy Form and Instruction ModifiedRegistration Data Entry Form
239355 Updated Registration of Non-regulated Submissions related to the NIH Policy Form and Instruction Modified
239347 Initial Registration of Non-regulated Submissions related to NIH Policy Form and Instruction ModifiedRegistration Data Entry Forms
239347 Initial Registration of Non-regulated Submissions related to NIH Policy Form and Instruction Modified
239344 Registration Triggered by Voluntary Submission Form and Instruction ModifiedRegistration Data Entry Form
239344 Registration Triggered by Voluntary Submission Form and Instruction Modified
239338 Updates Data Entry Personnel Form and Instruction ModifiedRegistration Data Entry Form
239338 Updates Data Entry Personnel Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2026 36 Months From Approved 03/31/2023
271,122 0 210,037
1,219,801 0 1,072,306
0 0 0





Reginfo record details
18
table that charts list of burden
IC Title Form No. Form Name
Certification to Delay Results 3
Expanded Access Records - Initial 5
Expanded Access records - Updates 5
Extension Requests and Appeals 4
Initial Data Entry Personnel Form 1
Initial Registration of Non-regulated Submissions related to NIH Policy 1
Initial Registration of Voluntary and Non-regulated Submissions 1
Initial Results Information Submission 2
Initial Results Information of Non-regulated Submissions related to the NIH policy 2
Initial Results Information of Voluntary and Non-regulated Submissions 2
Registration Triggered by Voluntary Submission 1
Results Triggered by Voluntary Submission 2
Update Results Information of Voluntary and Non-regulated Submissions 2
Update Results Information on Non-regulated Submissions related to the NIH Policy 2
Updated Registration of Non-regulated Submissions related to the NIH Policy 1
Updated Registration of Voluntary and Non-regulated Submissions 1
Updates 2
Updates Data Entry Personnel 1

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 271,122 210,037 0 61,085 0 0
Annual Time Burden (Hours) 1,219,801 1,072,306 0 147,495 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No