Registration Triggered by Voluntary Submission

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

Documents and Forms

Document Name Document Type
Form 1 Registration Triggered by Voluntary Submission Form and Instruction
1 Registration Data Entry Form Attachment 2 - Registration PRS Forms.pdf Form and Instruction
1 Registration Data Entry Form Attachment 2 - Registration PRS Forms.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Registration 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	1	Registration Data Entry Form	Attachment 2 - Registration PRS Forms.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 141	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	141	53	88
Annual IC Time Burden (Hours)	1,128	424	704
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.