Information Collection Request
Federalwide Assurance (FWA)
ICR 202304-0990-009 · OMB 0990-0278 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0990-0278 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0990-0978 Federalwide Assurance (FWA) |
Form | Unchanged | Repair queued |
 Supporting Statement for 0990-0278 FWA Form_June 2023.pdf |
Supporting Statement A | Uploaded 2023-06-30 | Repair queued |
| 45 CFR part 46 Regulations_2018 Requirements.pdf |
Supplementary Document | Uploaded 2023-04-13 | Repair queued |
| 45 CFR part 46 Regulations_Pre-2018 Requirements.pdf |
Supplementary Document | Uploaded 2023-04-13 | Repair queued |
| Individual Investigator Agreement.pdf |
Supplementary Document | Uploaded 2023-04-13 | Missing upstream |
| IRB Authorization Agreement.pdf |
Supplementary Document | Uploaded 2023-04-13 | Repair queued |
| FWA Instructions.pdf |
Supplementary Document | Uploaded 2023-04-13 | Repair queued |
| FWA Form.pdf |
Supplementary Document | Uploaded 2023-04-13 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 10411 |  Federalwide Assurance (FWA) |
Form | Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/HHSDM |
| OMB Control No | 0990-0278 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202004-0990-006 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |