Information Collection Request

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

ICR 202512-0925-004 · OMB 0925-0586 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
Form 1 Registration Data Entry Forms Form and Instruction Modified Repair queued
Form 1 Information Required for Waiver Requests and Appeals Form and Instruction New Available
Form 1 Information Required for Waiver Requests and Appeals Form and Instruction New Repair queued
Form 1 Expanded Access Record Data Element Definitions and Data Entry Forms Form and Instruction Modified Available
Form 1 Expanded Access Record Data Element Definitions and Data Entry Forms Form and Instruction Modified Available
Form 1 Expanded Access Record Data Element Definitions and Data Entry Forms Form and Instruction Modified Available
Form 1 Expanded Access Record Data Element Definitions and Data Entry Forms Form and Instruction Modified Available
Form 1 Request for the Extension of the Results Information Submission Deadline Form and Instruction Modified Available
Form 1 Request for the Extension of the Results Information Submission Deadline Form and Instruction Modified Repair queued
Form 1 Certification to Delay Submission of Results Information Form and Instruction Modified Available
Form 1 Certification to Delay Submission of Results Information Form and Instruction Modified Repair queued
Form 2 Results Information Submission Data Entry Form Form and Instruction Modified Available
Form 2 Results Information Submission Data Entry Form Form and Instruction Modified Available
Form 2 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 2 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Repair queued
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Repair queued
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Available
Form 1 Results Information Submission Data Entry Forms Form and Instruction Modified Repair queued
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
Form 1 Registration Data Entry Forms Form and Instruction Modified Repair queued
Form 1 Registration Data Entry Forms Form Modified Available
Form 1 Registration Data Entry Forms Form Modified Available
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
Form 1 Registration Data Entry Forms Form and Instruction Modified Repair queued
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
Form 1 Registration Data Entry Forms Form and Instruction Modified Available
ClinicalTrials.gov Supporting Statement A_Final 2_4_2026.docx Supporting Statement A Uploaded 2026-02-19 Available
ClinicalTrials.gov Supporting Statement A_Final 2_4_2026.docx Supporting Statement A Uploaded 2026-02-19 Repair queued
Attachment 8 - Privacy Act Memo Signed 2025_8_18.pdf Supplementary Document Uploaded 2026-02-19 Available
Attachment 8 - Privacy Act Memo Signed 2025_8_18.pdf Supplementary Document Uploaded 2026-02-19 Repair queued
Attachment 9 - Privacy Impact Assessment - 2025Mar11.pdf Supplementary Document Uploaded 2026-02-19 Available
Attachment 9 - Privacy Impact Assessment - 2025Mar11.pdf Supplementary Document Uploaded 2026-02-19 Missing upstream
30day 0586.pdf Supplementary Document Uploaded 2026-02-19 Available
30day 0586.pdf Supplementary Document Uploaded 2026-02-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6153 Initial Data Entry Personnel Form Form and Instruction ModifiedRegistration Data Entry Forms
6153 Initial Data Entry Personnel Form Form and Instruction ModifiedRegistration Data Entry Forms
6153 Initial Data Entry Personnel Form Form and Instruction Modified
278941 Waiver Requests and Appeals Form and Instruction NewInformation Required for Waiver Requests and Appeals
278941 Waiver Requests and Appeals Form and Instruction NewInformation Required for Waiver Requests and Appeals
278941 Waiver Requests and Appeals Form and Instruction New
239370 Expanded Access records - Updates Form and Instruction ModifiedExpanded Access Record Data Element Definitions and Data Entry Forms
239370 Expanded Access records - Updates Form and Instruction ModifiedExpanded Access Record Data Element Definitions and Data Entry Forms
239370 Expanded Access records - Updates Form and Instruction Modified
239368 Expanded Access Records - Initial Form and Instruction ModifiedExpanded Access Record Data Element Definitions and Data Entry Forms
239368 Expanded Access Records - Initial Form and Instruction ModifiedExpanded Access Record Data Element Definitions and Data Entry Forms
239368 Expanded Access Records - Initial Form and Instruction Modified
239366 Extension Requests and Appeals Form and Instruction ModifiedRequest for the Extension of the Results Information Submission Deadline
239366 Extension Requests and Appeals Form and Instruction ModifiedRequest for the Extension of the Results Information Submission Deadline
239366 Extension Requests and Appeals Form and Instruction Modified
239365 Certification to Delay Results Form and Instruction ModifiedCertification to Delay Submission of Results Information
239365 Certification to Delay Results Form and Instruction ModifiedCertification to Delay Submission of Results Information
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 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 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 Forms
239362 Update Results Information on Non-regulated Submissions related to the NIH Policy Form and Instruction ModifiedResults Information Submission Data Entry Forms
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 Forms
239361 Initial Results Information of Non-regulated Submissions related to the NIH policy Form and Instruction ModifiedResults Information Submission Data Entry Forms
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 Forms
239360 Results Triggered by Voluntary Submission Form and Instruction ModifiedResults Information Submission Data Entry Forms
239360 Results Triggered by Voluntary Submission Form and Instruction Modified
239359 Updates Form and Instruction ModifiedResults Information Submission Data Entry Forms
239359 Updates Form and Instruction ModifiedResults Information Submission Data Entry Forms
239359 Updates Form and Instruction Modified
239358 Initial Results Information Submission Form and Instruction ModifiedResults Information Submission Data Entry Forms
239358 Initial Results Information Submission Form and Instruction ModifiedResults Information Submission Data Entry Forms
239358 Initial Results Information Submission Form and Instruction Modified
239357 Updated Registration of Voluntary and Non-regulated Submissions Form and Instruction ModifiedRegistration Data Entry Forms
239357 Updated Registration of Voluntary and Non-regulated Submissions Form and Instruction ModifiedRegistration Data Entry Forms
239357 Updated Registration of Voluntary and Non-regulated Submissions Form and Instruction Modified
239356 Initial Registration of Voluntary and Non-regulated Submissions Form ModifiedRegistration Data Entry Forms
239356 Initial Registration of Voluntary and Non-regulated Submissions Form ModifiedRegistration Data Entry Forms
239356 Initial Registration of Voluntary and Non-regulated Submissions Form Modified
239355 Updated Registration of Non-regulated Submissions related to the NIH Policy Form and Instruction ModifiedRegistration Data Entry Forms
239355 Updated Registration of Non-regulated Submissions related to the NIH Policy Form and Instruction ModifiedRegistration Data Entry Forms
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 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 Forms
239344 Registration Triggered by Voluntary Submission Form and Instruction ModifiedRegistration Data Entry Forms
239344 Registration Triggered by Voluntary Submission Form and Instruction Modified
239338 Updates Data Entry Personnel Form and Instruction ModifiedRegistration Data Entry Forms
239338 Updates Data Entry Personnel Form and Instruction ModifiedRegistration Data Entry Forms
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
05/31/2029 36 Months From Approved 04/30/2026
323,878 0 271,122
1,411,181 0 1,219,801
0 0 0





Reginfo record details
19
table that charts list of burden
IC Title Form No. Form Name
Certification to Delay Results 1
Expanded Access Records - Initial 1
Expanded Access records - Updates 1
Extension Requests and Appeals 1
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 1
Initial Results Information of Non-regulated Submissions related to the NIH policy 1
Initial Results Information of Voluntary and Non-regulated Submissions 2
Registration Triggered by Voluntary Submission 1
Results Triggered by Voluntary Submission 1
Update Results Information of Voluntary and Non-regulated Submissions 2
Update Results Information on Non-regulated Submissions related to the NIH Policy 1
Updated Registration of Non-regulated Submissions related to the NIH Policy 1
Updated Registration of Voluntary and Non-regulated Submissions 1
Updates 1
Updates Data Entry Personnel 1
Waiver Requests and Appeals 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 323,878 271,122 0 52,756 0 0
Annual Time Burden (Hours) 1,411,181 1,219,801 0 191,380 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No