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Administrator Contact Request Form
Administrator Contact Request Form
OMB NO: 0925-0586
EXPIRATION DATE: 08/31/2015
Burden Statement
Each entity submitting data to ClinicalTrials.gov must adhere to the following terms and conditions, which are intended to ensure the accuracy, currency and validity of the data.
Only data for studies that are in conformance with applicable human subjects or ethics review regulations (or equivalent) and applicable regulations of the national (or regional) health authority (or equivalent) may be submitted;
Notice of changes in recruitment status must be provided as soon as possible, but not later than 30 days after such changes. All other submitted data must be reviewed, verified, and updated as necessary not less than every 12 months at a minimum.
The submitting organization is responsible for the completeness and accuracy of the data submitted to ClinicalTrials.gov.
Trial data must be submitted in English.
Multiple groups within a single entity (e.g., company, university, government agency) must share a single PRS organization account.
Previous versions of study data will be available to the public, although the default view will be the most recent version.
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If your organization is already registered with ClinicalTrials.gov, provide the following information to request contact with your organization's PRS administrator.
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*
:
Please enter the name exactly as it appears in the
list of organizations with a PRS account
.
Requestor Information
Name
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:
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:
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Questions about this form and the Protocol Registration System (PRS) may be sent to
register@ClinicalTrials.gov
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