Form 99 CLASSRequest Form

CLASS Course Setup Request Form
OMB# 0925-0753
Expiration: xx/xx/20xx
Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:
NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974,
Bethesda, MD 20892-7974, ATTN: PRA (0925-0753). Do not return the completed form to this address.

Instructions: Complete the items below and submit this form and/or any questions to
CLASSHelpDesk@westat.com.
Name of Person Submitting Form Required
Email of Person Submitting Form Required
Course Title: Required
Course Description: Optional
Thumbnail Image? Optional (229 x 173px)
Training Content Format: Required (e.g., SCORM, video, etc.)
Self-Enrollment Availability Rules None or define rules for enrollment.
Who can see and/or self-enroll in the course?
Are there any restrictions to this?
Auto Enrollment Availability Rules None or define rules for enrollment.
Who should be automatically enrolled in the
course, e.g., based on role, study approval, other?
Is this Training Associated with a Protocol If yes, indicate which protocol and type of PSR.
Specific Requirement (PSR)?
Implies the training is required for site
registration approval or other requirement, e.g.,
ability to be selected in OPEN.
Does this Training Control Access to a If yes, indicate which one.
System/Application?
Is There a Due Date? Optional; If yes, provide date or timeframe (e.g., 60
Sets a "soft" expectation that the learner will days from enrollment).
complete the course by the date/timeframe
entered. When the due date passes, the course is
still available to the learner to take and complete.
Is There an Expiration? Optional; If yes, provide date or timeframe (e.g., 60
Sets a date beyond which the course will no days from enrollment).
longer be available to the learner.

December_2021
Authorized by CTSU for local reproduction

Prerequisite Required? Optional; If yes, provide course or courses that
Learners will be allowed to enroll in the course but must be completed first.
will be unable to take it until all prerequisite
courses are completed.
Completion Certificate? Optional
Attestation for Completion? Optional
Is There a Quiz? Optional
Can Learners Fail the Course? Optional
Custom Email Message? Optional
Can be sent at assignment, at completion, or as
reminders.
Nudge Emails? Optional; If yes, indicate frequency and number
These are reminder emails sent if a course is not (e.g., weekly for three weeks).
completed.
Resource Documentation Attachments? Optional
Materials that are to be posted in the course’s
Resources section, but are not officially part of the
course.
New Process/Course or Replacing Preexisting? Effective or Cutoff Date if replacing a process
Automated Reporting? Optional; If yes, include preferred frequency and
The CTSU can program course activity reports to recipients for report emails.
be generated automatically and sent via email.

December_2021
Authorized by CTSU for local reproduction