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Principal Investigators/Research Assistants
NDAR Data Access Request
OMB: 0925-0667
IC ID: 204810
OMB.report
HHS/NIH
OMB 0925-0667
ICR 201401-0925-001
IC 204810
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0667 can be found here:
2023-05-18 - Revision of a currently approved collection
2021-10-21 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
40
0
0
0
0
40
Annual IC Time Burden (Hours)
63
0
0
0
0
63
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.