Information Collection

NCS Vanguard Downloadable Data Access Form

IC 235416 under ICR 201903-0925-001 · OMB 0925-0760.

Documents and Forms

Document Name Document Type
Form 1 NCS Vanguard Downloadable Data Access Form Form and Instruction
1 NCS Vanguard Data User Agreement Form Attachment A.1 NCS Vanguard Data User Agreement Form_3-7-2019.pdf Form and Instruction
0925-0730 Attach-ment A.5 Example Screenshot to Show NCS Branding on Data Forms.pdf Example Screenshot to Show NCS Branding on Data Forms IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NCS Vanguard Downloadable Data Access Form	Agency IC Tracking Number:

Is this a Common Form? No		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
Form and Instruction	1	NCS Vanguard Data User Agreement Form	Attachment A.1 NCS Vanguard Data User Agreement Form_3-7-2019.pdf		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: 150	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	150	150
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Example Screenshot to Show NCS Branding on Data Forms	0925-0730 Attach-ment A.5 Example Screenshot to Show NCS Branding on Data Forms.pdf	03/19/2019

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