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PRS Administrator Contact Request Form

OMB No: 0925-0586 Expiration Date: 3/31/2026 Burden Statement
Each entity submitting data to 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 no later than 30 days after such changes. All other submitted data must be reviewed, verified, and updated as necessary and no less than every 12 months.
  • The submitting organization, or individual designated as the Responsible Party, is responsible for the completeness and accuracy of the data submitted to
  • Study data must be submitted in English.
  • Multiple groups within a single entity (e.g., company, university, government agency) must share a single Protocol Registration and Results System (PRS) organization account.
  • Previous versions of study data will be available to the public, although the default view will be the most recent version.
(Acceptance Required)
If your organization is already registered with, provide the following information to request contact with your organization's PRS Administrator.
* Organization:
Please enter the name exactly as it appears on the list of organizations with a PRS account.

Requestor Information
* Name:
* Department or Group:
* Phone:
Please enter a valid phone number, including area code.
* Email:

Questions about this form and the PRS may be sent to

* Required
This page last reviewed in December 2014