Electronic Application for NIH Certificates of Confidentialty (CoC E-application System)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 NIH Certificates of Confidentiality Request Form Screenshots	Form and Instruction	New	Available
Form 1 NIH Certificate of Confidentiality Request Form Screenshot	Form and Instruction	New	Available
Form 1 NIH Certificates of Confidentiality Request Form Screenshots	Form and Instruction	New	Available
Form 1 NIH Certificates of Confidentiality Request Form Screenshot	Form and Instruction	New	Available
Form 1 OEP CoC Application	Form and Instruction	Removed	Available
Form 1 OEP CoC Application	Form and Instruction	Removed	Available
Form 1 OEP CoC Application	Form and Instruction	Removed	Repair queued
Form 1 OEP CoC Application	Form and Instruction	Removed	Available
COC 30-day Notice.pdf	Supplementary Document	Uploaded 2019-12-20	Available
Support_stmt_A coc online system final (3).docx	Supporting Statement A	Uploaded 2020-01-27	Available
Attachment 2 DHHS COC Coordinators (1).docx	Supplementary Document	Uploaded 2019-12-03	Available
CoC_PIA_HHS_2019.rtf	Supplementary Document	Uploaded 2019-12-03	Available
Privacy Act Memo.pdf	Supplementary Document	Uploaded 2019-12-03	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
238764	CoC Applicants - Federal	Form and Instruction	New	NIH Certificates of Confidentiality Request Form Screenshots
238763	CoC Applicants - Small Business	Form and Instruction	New	NIH Certificate of Confidentiality Request Form Screenshot
238762	CoC Applicants - State/local	Form and Instruction	New	NIH Certificates of Confidentiality Request Form Screenshots
238761	CoC Applications - Private	Form and Instruction	New	NIH Certificates of Confidentiality Request Form Screenshot
224161	CoC Applicants -Federal	Form and Instruction	Removed	OEP CoC Application
224160	CoC Applicants - Small business	Form and Instruction	Removed	OEP CoC Application
224158	CoC Applicants- State/local	Form and Instruction	Removed	OEP CoC Application
224157	CoC Applicants Private	Form and Instruction	Removed	OEP CoC Application

ICR Details

OMB Control No: 0925-0689	ICR Reference No: 201912-0925-001
Status: Historical Active	Previous ICR Reference No: 201610-0925-002
Agency/Subagency: HHS/NIH	Agency Tracking No: 20936
Title: Electronic Application for NIH Certificates of Confidentialty (CoC E-application System)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/07/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/23/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2023	36 Months From Approved	02/29/2020
Responses	529	0	1,300
Time Burden (Hours)	794	0	1,951
Cost Burden (Dollars)	0	0	0

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Abstract: NIH is requesting a revision for three years. In 2015, NIH launched an on-line application system for researchers to request a Certificate of Confidentiality (CoC) from NIH. Information is collected to allow confirmation of eligibility for a CoC and to issue a Certificate. Eligible requestors will receive an electronic Certificate once approved. Certificates of Confidentiality (CoCs) protect research participants, researchers, and institutions by prohibiting disclosure of identifying information about participants to persons not connected to the research, with limited exceptions. NIH, through its 24 funding Institutes and Centers (ICs), has issued Certificates of Confidentiality since 1997 to researchers who request this protection. NIH-funded researchers are now deemed issued a Certificate upon award of NIH funding and no longer need to request a Certificate through the system. Non-NIH funded researchers may continue to request a CoC through the online system.

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Authorizing Statute(s): US Code: 42 USC 241(d) Name of Law: US Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 40426	08/14/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 70199	12/20/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
CoC Applicants - Federal	1	NIH Certificates of Confidentiality Request Form Screenshots
CoC Applicants - Small Business	1	NIH Certificate of Confidentiality Request Form Screenshot
CoC Applicants - Small business	1	OEP CoC Application
CoC Applicants - State/local	1	NIH Certificates of Confidentiality Request Form Screenshots
CoC Applicants -Federal	1	OEP CoC Application
CoC Applicants Private	1	OEP CoC Application
CoC Applicants- State/local	1	OEP CoC Application
CoC Applications - Private	1	NIH Certificates of Confidentiality Request Form Screenshot

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	529	1,300	0	-771	0	0
Annual Time Burden (Hours)	794	1,951	0	-1,157	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The 21st Century Cures Act, enacted December 13, 2016 requires the DHHS Secretary to issue to investigators or institutions engaged in biomedical, behavioral, clinical, or other research in which identifiable, sensitive information is collected (“Covered Information”), a Certificate to protect the privacy of individuals who are subjects of such research, if the research is funded wholly or in part by the Federal Government. As a result, NIH now deems all NIH-funded research within the scope of the law and the NIH CoC policy issued a Certificate, thus a CoC request is no longer needed and no information is collected from NIH recipients. Total burden hours have decreased from 1951 to 794 from the previous submission due to automatic issuance of NIH-funded CoCs. NIH plans to further implement these requirements with a streamlined form and enhanced electronic system in 2020. Due to the timeline and resources needed for system development, the system will not be functional prior to expiration of the current clearance.

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Annual Cost to Federal Government: $117,616

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/23/2019

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