Irlcw

Materials to Support NIH IRBs Serving As the Public Health Emergency Research Review Board (PHERRB) or as an IRB of Record for Outside Institutions

Documents and Forms

Document Name Document Type
Form 2 IRLCW Form
2 Initial Review Local Context Worksheet (IRLCW) Attachment 3 Initial Review Local Context Worksheet (IRLCW).docx Form

Information Collection (IC) Details

IC Title:	IRLCW	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	2	Initial Review Local Context Worksheet (IRLCW)	Attachment 3 Initial Review Local Context Worksheet (IRLCW).docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.