Information Collection

Principal Investigators/Research Assistants

IC 204810 under ICR 201412-0925-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 1 NDAR Data Access Request (DUC) Form Principal Investigators/Research Assistants	Form
Form 1 NIMH DUC (NDAR and PedsMRI) Principal Investigators/Research Assistants	Form
Form 1 NIMH DUC (NCRD) Principal Investigators/Research Assistants	Form
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: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction		No	No	Paper Only
Instruction		No	No	Paper Only
Form	1	No	No	Paper Only
Instruction		No	No	Paper Only
Form	1	No	No	Paper Only
Form	1	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
	Program Change Due to Agency Discretion	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.

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