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1. Select the trial you want to work with by following instructions in Searching for and Selecting Your Trials, and clicking the corresponding NCI Trial Identifier link. The Search Study Subject/List of Study Subjects page appears. If no accrual counts have been recorded for this trial previously, you can elect to submit your accrual data at the summary level instead of the subject level.
   
2. Optionally, to record accrual counts at the summary level, click Switch to Summary Level Accrual, and follow the instructions in Submitting Accruals at the Summary Level for Non-Interventional Trials. Otherwise, continue with the next steps.
3. Click Add New Study Subject. The Add Study Subject page appears.
   

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4. Enter the appropriate demographic information in the text fields and select items from drop-down lists. The following table describes the fields. An asterisk (*) indicates a required field. For a list of valid values and formats for each field, refer to Accrual Data Elements for Complete Trials.
   
   Descriptions and instructions for study subject demographic data fields

   Study Subject Information	Instruction/Description
   Study Subject ID*	Enter the unique Patient ID as per the lead organization or the study site where the subject is registered.
   Study Subject Birth Date*	Enter the subject's month and year of birth in the format MM/YYYY .
   Study Subject Gender*	Select the subject’s gender. If gender information is not available, select Unknown.
   Study Subject Race*	Select one or more values for race. Tip To select multiple races, select one race, and then press and hold the CTRL/CMD key as you select the other(s).
   Study Subject Ethnicity*	Select a value for ethnicity.
   Study Subject Country*	Select the subject’s country of origin.
   Study Subject Zip Code	Enter the subject’s Zip Code if known. This field is mandatory if the country of origin is United States.
   Registration Date*	Enter the date that the subject was registered for the trial.
   Study Subject Method of Payment	For United States study subjects only, select the appropriate payment method.
   Site* Anchor 6136 6136	Click Look Up, and follow the instructions in Selecting Sites for Study Subject Records Using ICD-O-3 Codes. Mandatory for ICD-O-3 trials unless you record a CD-O-3 Disease Code. Optionally, record both Site and Disease codes. Site codes are available at http://training.seer.cancer.gov/head-neck/abstract-code-stage/codes.html.
   Disease*	Click Look Up, and follow the instructions in Selecting Diseases for Study Subject Records. Mandatory for ICD-9 and SDC trials; and for ICD-O-3 trials unless you record a CD-O-3 Site Code. Use Histology codes when C codes are not available (for example, for Multiple Myeloma, NHL, Leukemia).
   Participating Site*	Select the appropriate site from the drop-down list.

5. Click Save.
   The study subject record appears in the List of Study Subjects.

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1. Select the trial you want to work with by following instructions in Searching for and Selecting Your Trials, and clicking the corresponding NCI Trial Identifier link. The Participating Site Subject Accrual Count page appears. If no accrual counts have been recorded for this trial previously, you can elect to submit your accrual data at the subject level instead of the summary level.

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2. (Optional) To record accrual counts at the subject level, click Switch to Subject Level Accrual, and follow the instructions in Submitting Accruals at the Subject Level for Non-Interventional Trials. Otherwise, continue with the next steps.
3. In the Number # of Subjects Enrolled field(s), enter the number of subjects currently enrolled in this study at your site.
4. (Optional) In the Cut-Off Date field, specify the date from which the cumulative accrual count was calculated. If you do not specify a cut-off date, the system considers the accrual submission date to be the cut-off date.
5.  In the Actions column of the record you want to update, click Save (the floppy disk icon). A message at the top of the table indicates that the record has been updated successfully. Because you submitted accrual counts at the summary level, you must continue to record accruals at this level in the future.

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