Information Collection

Research Materials Distribution Agreement

IC 220005 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 4 Research Materials Distribution Agreement Form and Instruction
4 Research Materials Distribution Agreement Attachment A.4 Research Materials Distribution Agreement (RMDA)_02-04-2016_MARKED.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Research Materials Distribution Agreement	Agency IC Tracking Number:

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	4	Research Materials Distribution Agreement	Attachment A.4 Research Materials Distribution Agreement (RMDA)_02-04-2016_MARKED.docx		No		Paper Only

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: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	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

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.