Information Collection

CTSU IRB Certification Form (Attachment A2)

IC 225843 under ICR 202402-0925-001 · OMB 0925-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0753 can be found here:

Documents and Forms

Document Name Document Type
Form 2 CTSU IRB Certification Form (Attachment A2) Form and Instruction
2 IRB Certification Attachment_A02_irbcrt-102221_Clean.docx Form and Instruction
2 IRB Certification Attachment_A02_irbcrt-102221_Clean.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CTSU IRB Certification Form (Attachment A2)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	IRB Certification	Attachment_A02_irbcrt-102221_Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Clinical Basic and Population-based Research Studies of the National Institutes of Health	FR Citation: 67 FR 60742

Number of Respondents: 2,444	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	29,328	29,328
Annual IC Time Burden (Hours)	4,888	4,888
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.