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PANEL 19 Form Approved OMB No. 09350118 Exp. Date 12/31/2015AUTHORIZATION TO OBTAIN INFORMATION FROM PHARMACIES AND PHARMACY RECORDS MEDICAL EXPENDITURE PANEL SURVEY U.S. DEPARTMENT OF HEALTH AND

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How to fill out form fda 1572

01

Step 1: Begin by downloading Form FDA 1572 from the official FDA website.

02

Step 2: Fill in your name, address, and contact information in Section 1 of the form.

03

Step 3: Provide the name and address of the investigator or institution where the study will be conducted in Section 2.

04

Step 4: List the protocol title, protocol number, and test article name in Section 3.

05

Step 5: Complete Section 4 by providing the name and address of the sponsor or sponsor-investigator.

06

Step 6: Sign and date the form in Section 5.

07

Step 7: Submit the completed form to the appropriate FDA office or regulatory authority.

Who needs form fda 1572?

01

Form FDA 1572 is required by investigators or institutions who are conducting clinical trials involving investigational drugs, including studies conducted under an Investigational New Drug (IND) Application.

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What is form fda 1572?

Form FDA 1572 is a document that is used by the Food and Drug Administration (FDA) to collect essential information about investigators involved in conducting clinical trials.

Who is required to file form fda 1572?

Investigators who are conducting clinical trials are required to file form FDA 1572.

How to fill out form fda 1572?

Form FDA 1572 should be filled out with accurate and up-to-date information about the investigator, the clinical trial, and any additional personnel involved.

What is the purpose of form fda 1572?

The purpose of form FDA 1572 is to ensure that investigators conducting clinical trials have the necessary qualifications and experience to carry out the research ethically and in compliance with FDA regulations.

What information must be reported on form fda 1572?

Form FDA 1572 requires information about the investigator's qualifications, medical background, experience, and any conflicts of interest that may exist.

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