Planned Enrollment Report Ethnic Categories Racial Categories Total Not Hispanic or Latino Hispanic or Latino Female Male Female Male American 0 Indian/ Alaska Native Asian 0 Native Hawaiian or 0 Other Pacific Islander Black or 0 African American White 0 More Than One Race 0 0 0 0 0 0 Total PHS 398 / PHS 2590 (Rev. 08/12 Approved Through 8/31/2015) OMB No. 0925-0001/0002 References
Planned Enrollment Report Racial Categories Ethnic Categories Not Hispanic or Latino Hispanic or Latino Total Female Male Female Male American Indian/ Alaska Native 0 Asian 0 Native Hawaiian or Other Pacific Islander 0 Black or African American 0 White 0 More Than One Race 0 Total 0 0 0 0 0 PHS 398 / PHS 2590 (Rev. 08/12 Approved Through 8/31/2015) OMB No. 0925-0001/0002 References
Clinical-Pilot_Application_Draft_18-19_04.12.2018.docx