Results Triggered by Voluntary Submission

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

Documents and Forms

Document Name Document Type
Form 2 Results Triggered by Voluntary Submission Form and Instruction
2 Results Information Submission Data Entry Form Attachment 5 - Results PRS Forms.pdf Form and Instruction
2 Results Information Submission Data Entry Form Attachment 5 - Results PRS Forms.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Results Triggered by Voluntary Submission	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	2	Results Information Submission Data Entry Form	Attachment 5 - Results PRS Forms.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 47	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	47	17	30
Annual IC Time Burden (Hours)	2,115	765	1,350
Annual IC Cost Burden (Dollars)	0	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.