Information Collection Request

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

ICR 201912-0925-001 · OMB 0925-0689 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 CoC Applicants - Federal Form and Instruction New Available
Form 1 CoC Applicants - Small Business Form and Instruction New Available
Form 1 CoC Applicants - State/local Form and Instruction New Available
Form 1 CoC Applications - Private Form and Instruction New Available
Form 1 CoC Applicants -Federal Form and Instruction Removed Available
Form 1 CoC Applicants - Small business Form and Instruction Removed Available
Form 1 CoC Applicants- State/local Form and Instruction Removed Repair queued
Form 1 CoC Applicants Private 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 IDCollectionTypeStatusForm
238764 CoC Applicants - Federal Form and Instruction New
238763 CoC Applicants - Small Business Form and Instruction New
238762 CoC Applicants - State/local Form and Instruction New
238761 CoC Applications - Private Form and Instruction New
224161 CoC Applicants -Federal Form and Instruction Removed
224160 CoC Applicants - Small business Form and Instruction Removed
224158 CoC Applicants- State/local Form and Instruction Removed
224157 CoC Applicants Private Form and Instruction Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2023 36 Months From Approved 02/29/2020
529 0 1,300
794 0 1,951
0 0 0





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


Reginfo record details
  No