Information Collection

CDC IRB Authorization Agreement (for review, completion, and submission to CDC)

IC 271136 under ICR 202409-0920-020 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CDC IRB Authorization Agreement (for review, completion, and submission to CDC)	Form and Instruction
CDC IRB Authorization Agreement Att 4 CDC IAA 08292024_final.docx	Form and Instruction
CDC IRB Authorization Agreement Att 4 CDC IAA 08292024_final.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

0920-24AH

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 46:114 (To search for a specific CFR, visit the Code of Federal Regulations.)

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 and Instruction	n/a	CDC IRB Authorization Agreement	Att 4 CDC IAA 08292024_final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	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.