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Institutional Review Board/Independent Ethics Committee Registration Form
Institutional Review Board/Independent Ethics Committee Registration Form
OMB: 0990-0279
IC ID: 10412
OMB.report
HHS/HHSDM
OMB 0990-0279
ICR 201206-0990-005
IC 10412
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0279 can be found here:
2022-05-24 - Reinstatement without change of a previously approved collection
2018-10-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
0990-0279-IRB- Registration Form__Proposed_June 2012_to Toni.doc
Other-form
IRB Registration_Form_0990-0279_Instructions_Proposed_ 2012.doc
IRB Registration_Form_0990-0279_Instructions_Proposed_ 2012
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Institutional Review Board/Independent Ethics Committee Registration Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
45 CFR 46.103
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-form
0990-0279-IRB- Registration Form__Proposed_June 2012_to Toni.doc
No
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6,100
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
12,200
0
200
0
0
12,000
Annual IC Time Burden (Hours)
12,200
0
200
0
0
12,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
IRB Registration_Form_0990-0279_Instructions_Proposed_ 2012
IRB Registration_Form_0990-0279_Instructions_Proposed_ 2012.doc
06/20/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.