Information Collection

Autism Spectrum Disorder (ASD) Research Funders - U.S. Private

IC 221817 under ICR 201606-0925-003 · OMB 0925-0682.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0682 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Autism Spectrum Disorder (ASD) Research Funders - U.S. Private	Form and Instruction
1 Data Collection Spreadsheet Attachment 4.0925_0682.EXTENSION.Data Collection Spreadsheet.xlsx	Form and Instruction
Attachment 3.0925_0682.EXTENSION.Data Collection Guidance.pdf Data Collection Guidance	IC Document

IC Title:

Autism Spectrum Disorder (ASD) Research Funders - U.S. Private

Agency IC Tracking Number:

Is this a Common Form? No

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	Data Collection Spreadsheet	Attachment 4.0925_0682.EXTENSION.Data Collection Spreadsheet.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Data Collection Guidance	Attachment 3.0925_0682.EXTENSION.Data Collection Guidance.pdf	06/07/2016

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