OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

PHS Human Subjects and Clinical Trial Information (Part of Final RPPR, includes inclusion/enrollment)

IC 225115 under ICR 202408-0925-003 · OMB 0925-0002.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
PHS Human Subjects and Clinical Trial Information (Part of Final RPPR, includes inclusion/enrollment)		 Form
Attachment 5B_PHS HSCT Form_Instructions_FORMS-I.docx Instruction
Attachment 5B_PHS HSCT Form_Instructions_FORMS-I.docx Instruction
1 Form
Attachment 5B_HumanSubjectStudy_3_0-V3.0_Sections 1-6.pdf 		Form
1 Form
Attachment 5B_HumanSubjectStudy_3_0-V3.0_Sections 1-6.pdf 		Form
2 Form
Attachment 5B_PHSHumanSubjectsAndClinicalTrialsInfo_3_0-V3.0.pdf 		Form
2 Form
Attachment 5B_PHSHumanSubjectsAndClinicalTrialsInfo_3_0-V3.0.pdf 		Form
3 Form
Attachment 5B_PHSInclusionEnrollmentReport-V1.0.pdf 		Form
3 Form
Attachment 5B_PHSInclusionEnrollmentReport-V1.0.pdf 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Form Attachment 5B_HumanSubjectStudy_3_0-V3.0_Sections 1-6.pdf Yes Yes Fillable Fileable
Form 2 Form Attachment 5B_PHSHumanSubjectsAndClinicalTrialsInfo_3_0-V3.0.pdf Yes Yes Fillable Fileable
Form 3 Form Attachment 5B_PHSInclusionEnrollmentReport-V1.0.pdf Yes Yes Fillable Fileable
Instruction Attachment 5B_PHS HSCT Form_Instructions_FORMS-I.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,600 0 0 0 0 3,600
Annual IC Time Burden (Hours) 14,400 0 0 0 0 14,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.