Information Collection

Nimh Duc - Grdr

IC 209964 under ICR 201401-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 2 NIMH DUC - GRDR Form and Instruction
2 NIMH DUC - GRDR GRDR DUC (110713).doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NIMH DUC - GRDR	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Form and Instruction	2	NIMH DUC - GRDR	GRDR DUC (110713).doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	1,583	1,583
Annual IC Cost Burden (Dollars)	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.