Information Collection

Biospecimen Use Annual Progress Report

IC 233992 under ICR 201811-0925-002 · OMB 0925-0744.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0744 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6 Biospecimen Use Annual Progress Report	Form and Instruction
6 Biospecimen Use Annual Progress Report 0925-0744-New_DASH_AttachmentA.2-7_Biospecimen Use Annual Progress Report_revised.docx	Form and Instruction

IC Title:

Biospecimen Use Annual Progress Report

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	6	Biospecimen Use Annual Progress Report	0925-0744-New_DASH_AttachmentA.2-7_Biospecimen Use Annual Progress Report_revised.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD

FR Citation: 67 FR 60742

Number of Respondents: 36

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	36	36
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.