NDAR Data Access Request

ICR 201308-0925-003

OMB: 0925-0667

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-08-15
IC Document Collections
IC ID
Document
Title
Status
204810 Modified
ICR Details
0925-0667 201308-0925-003
Historical Active 201211-0925-005
HHS/NIH 20265
NDAR Data Access Request
Revision of a currently approved collection   No
Regular
Approved without change 09/23/2013
Retrieve Notice of Action (NOA) 08/20/2013
  Inventory as of this Action Requested Previously Approved
09/30/2016 36 Months From Approved 01/31/2016
40 0 40
63 0 63
0 0 0

Several National Institutes of Health (NIH) data repositories require applicants to complete a data access request form, generally consisting of an abbreviated Standard Form 424 and a data use certification. The use of this previously OMB-approved information collection form was an expedient measure to jumpstart the use of these databases. The National Institute of Mental Health (NIMH) recently received OMB-approval for use of the National Database for Autism Research (NDAR) Data Use Certification Form (Title: NDAR Data Access Request; OMB Control Number: 0925-0667; Expiration Date: 01/31/2016). NIMH is interested in renaming this form the "NIMH Data Access Request and Use Certification (DUC) Form" and using it to meet the unique data access needs of all NIMH data repositories. There are currently three data repositories/sets positioned to use the NIMH DUC form: NDAR, the NIH Pediatric MRI Data Repository (PedsMRI), and the NIMH Clinical Research Datasets (NCRD).

US Code: 42 USC 203 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  78 FR 31947 05/28/2013
78 FR 48177 08/07/2013
No

1
IC Title Form No. Form Name
Principal Investigators/Research Assistants 1, 1, 1 NDAR Data Access Request (DUC) Form ,   NIMH DUC (NDAR and PedsMRI) ,   NIMH DUC (NCRD)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 40 40 0 0 0 0
Annual Time Burden (Hours) 63 63 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$8,450
No
No
No
No
No
Uncollected
Saleda Perryman

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/20/2013


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