Information Collection

Institutional Certification

IC 236985 under ICR 201907-0925-004 · OMB 0925-0670.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0670 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Institutional Certification	Form and Instruction
1 Online dbGaP Registration and Submission Form Attachment 1-Online dbGaP Registration and Submission Forms 06_28_2019.pptx	Form and Instruction

IC Title:

Institutional Certification

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	Online dbGaP Registration and Submission Form	Attachment 1-Online dbGaP Registration and Submission Forms 06_28_2019.pptx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Extramural Awards and Chartered Advisory Committees (IMPAC 2), Contract Information (DCIS), and Cooperative Agreement Information

FR Citation: 67 FR 60751

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	300	300
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
No associated records found

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