Information Collection Request

NDAR Data Access Request

ICR 201709-0925-002 · OMB 0925-0667 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 NDA Data Use Certification (DUC) Form and Instruction New Available
Form 1 NDA Data Submission Agreement (DSA) Form and Instruction New Available
Form 2 NIMH Data Repositories Submission Request Form and Instruction Removed Available
Form 1 NIMH Data Repositories Access DUC Form and Instruction Removed Available
30dayFRN 2017-21267.pdf Supplementary Document Uploaded 2017-10-04 Available
NDAR PIA.docx Supplementary Document Uploaded 2017-09-13 Available
NIMH Data Archive.0925-0667.SSA.Revision3_FINALv5.docx Supporting Statement A Uploaded 2017-09-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228276 NDA Data Use Certification (DUC) Form and Instruction New
228274 NDA Data Submission Agreement (DSA) Form and Instruction New
214311 NIMH Data Repositories Submission Request Form and Instruction Removed
214310 NIMH Data Repositories Access DUC Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2020 36 Months From Approved 02/28/2018
1,000 0 140
1,500 0 221
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,000 140 0 860 0 0
Annual Time Burden (Hours) 1,500 221 0 1,279 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No