Information Collection

Principal Investigators/Research Assistants

IC 204810 under ICR 201308-0925-003 · OMB 0925-0667.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0667 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NDAR DUC terms_final (040513).docx	Instruction
NCRD DUC terms_final (040513).doc	Instruction
PedsMRI DUC terms_final (040513).doc	Instruction
1 NDAR Data Access Request (DUC) Form NDAR_Data_Access_Request_DUC_PRA[2].docx	Form
1 NIMH DUC (NDAR and PedsMRI) NIMH DUC_final (NDAR and PedsMRI) (revised).docx	Form
1 NIMH DUC (NCRD) NIMH DUC_final (NCRD)(revised).docx	Form

IC Title:

Principal Investigators/Research Assistants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			NDAR DUC terms_final (040513).docx	No	No	Paper Only
Instruction			NCRD DUC terms_final (040513).doc	No	No	Paper Only
Form	1	NDAR Data Access Request (DUC) Form	NDAR_Data_Access_Request_DUC_PRA[2].docx	No	No	Paper Only
Instruction			PedsMRI DUC terms_final (040513).doc	No	No	Paper Only
Form	1	NIMH DUC (NDAR and PedsMRI)	NIMH DUC_final (NDAR and PedsMRI) (revised).docx	No	No	Paper Only
Form	1	NIMH DUC (NCRD)	NIMH DUC_final (NCRD)(revised).docx	No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD

FR Citation: 67 FR 60742

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	63	63
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.