CDER Library Test 1

DATA Act Section 5 Grants Pilot

Documents and Forms

Document Name Document Type
HHS DAP_CDER Library 1_Survey_11042016.docx Other-null
CDER Library Scenario_11162016_final.docx Instruction
4040-0017_Short Supporting Statement_CDER Library_11042016.docx Short Suppoirting Statement IC Document
4040-0017_Supporting Statement A_CDER Library_11042016.docx Supporting Statement IC Document
DRAFT_CDER Library Presentation_11042016.pptx Presentation IC Document

Information Collection (IC) Details

IC Title:	CDER Library Test 1	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
Other-null			HHS DAP_CDER Library 1_Survey_11042016.docx		Yes	Yes	Fillable Fileable
Instruction			CDER Library Scenario_11162016_final.docx		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Short Suppoirting Statement	4040-0017_Short Supporting Statement_CDER Library_11042016.docx	11/17/2016
Supporting Statement	4040-0017_Supporting Statement A_CDER Library_11042016.docx	11/17/2016
Presentation	DRAFT_CDER Library Presentation_11042016.pptx	11/17/2016

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