Data Access Request

NIH Information Collection Forms to Support Genomic Data Sharing for Research Purposes (OD)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 2 Data Access Request Form and Instruction
2 online dbGaP Data Access Request Forms Attachment 2-Online dbGaP Data Access Request Forms 06_28_2019.pptx Form and Instruction

Information Collection (IC) Details

IC Title:	Data Access Request	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	2	online dbGaP Data Access Request Forms	Attachment 2-Online dbGaP Data Access Request 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: 1,500	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.