Information Collection

Survey of Researchers Studying Rodent Models for Down Syndrome

IC 227143 under ICR 201410-0925-002 · OMB 0925-0643.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0643 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Survey of Researchers Studying Rodent Models for Down Syndrome	Form
1 DS Rodent Survey 0925-0643_DS Rodent Survey_instrument.pdf	Form
0925-0643_DS Rodent Survey_Application Template (1).docx DS Rodent Survey Fast Track Application	IC Document
0925-0643_DS Rodent Survey_Email invitation.docx DS Rodent Survey Email invitation	IC Document

IC Title:

Survey of Researchers Studying Rodent Models for Down Syndrome

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	1	DS Rodent Survey	0925-0643_DS Rodent Survey_instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

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	100	100
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DS Rodent Survey Fast Track Application	0925-0643_DS Rodent Survey_Application Template (1).docx	06/09/2017
DS Rodent Survey Email invitation	0925-0643_DS Rodent Survey_Email invitation.docx	06/09/2017

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