Information Collection

Data Access Request (DAR)

IC 205638 under ICR 201301-0925-003 · OMB 0925-0670.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0670 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 Data Access Request (DAR)	Form and Instruction
2 Screen Shots of Online Forms form Data Access Request, R Attachment 3_Screen Shots of Online Forms for DAR Renewal Close-out updated time.pptx	Form and Instruction

IC Title:

Data Access Request (DAR)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	Screen Shots of Online Forms form Data Access Request, Renewal, and Close-out	Attachment 3_Screen Shots of Online Forms for DAR Renewal Close-out updated time.pptx		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,266

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,266	1,266
Annual IC Time Burden (Hours)	1,583	1,583
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.