Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0263 can be found here:

Documents and Forms

Document Name Document Type
0990-0263_Optional 310_ Proposed Form_updated_12 January 2012.rtf Other-form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Protection of Human Subjects Assurance Identification/IRB Certification/Declaration of Exemption	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-form			0990-0263_Optional 310_ Proposed Form_updated_12 January 2012.rtf		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	28,000	4,000	24,000
Annual IC Time Burden (Hours)	14,000	2,000	12,000
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.