Information Collection

NICHD DASH -Study Request and/or Study Submission Survey (federal)

IC 231935 under ICR 201711-0925-003 · OMB 0925-0643.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NICHD DASH -Study Request and/or Study Submission Survey (federal)	Form
1 NICHD DASH Study Submitter survey 0925-0643_substudy_NICHD DASH Study Submitter Survey.docx	Form
0925-0643_substudy_NICHD DASH_2018_Federal Government.docx NICHD DASH 2018 Federal Government	IC Document

IC Title:

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	1	NICHD DASH Study Submitter survey	0925-0643_substudy_NICHD DASH Study Submitter Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

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	67	67
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NICHD DASH 2018 Federal Government	0925-0643_substudy_NICHD DASH_2018_Federal Government.docx	06/25/2018

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