Information Collection

NINDS Common Data Elements (CDE) Survey

IC 221034 under ICR 201307-0925-006 · OMB 0925-0678.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NINDS Common Data Elements (CDE) Survey	Form and Instruction
1 CDE SurveyMonkey Survey CDE SurveyMonkey_Survey.pdf	Form and Instruction
NINDS CDE_OMB fast track application.docx NINDS CDE Fast Track Application	IC Document

IC Title:

Agency IC Tracking Number:

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	1	CDE SurveyMonkey Survey	CDE SurveyMonkey_Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 544

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	544	544
Annual IC Time Burden (Hours)	91	91
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NINDS CDE Fast Track Application	NINDS CDE_OMB fast track application.docx	04/15/2016

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