Information Collection

Webpage Study Details and Informed Consent for Extramural Researchers, and External Stakeholders Screenshots

IC 213275 under ICR 201501-0925-002 · OMB 0925-0712.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0712 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Webpage Study Details and Informed Consent for Extramural Researchers, and External Stakeholders Screenshots Form and Instruction
1 Webpage Study Details and Informed Consent for Extramura Attachment 5a Webpage Study Details and Informed Consent for Extramural Researchers and External Stakeholder Screenshots.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Webpage Study Details and Informed Consent for Extramural Researchers, and External Stakeholders Screenshots	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	1	Webpage Study Details and Informed Consent for Extramural Researchers, and External Stakeholders Screenshots	Attachment 5a Webpage Study Details and Informed Consent for Extramural Researchers and External Stakeholder Screenshots.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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
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.