Information Collection

Vanguard Downloadable Data Access Form

IC 220002 under ICR 201508-0925-002 · OMB 0925-0730.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0730 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Vanguard Downloadable Data Access Form	Form and Instruction
1 Vanguard Data user Agreement Form Attachment A.1 Vanguard Data User Agreement Form_02-04-2016_MARKED.docx	Form and Instruction

IC Title:

Vanguard Downloadable Data Access Form

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 and Instruction	1	Vanguard Data user Agreement Form	Attachment A.1 Vanguard Data User Agreement Form_02-04-2016_MARKED.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	50	50
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.