Information Collection Request

NDAR Data Access Request (NIMH)

ICR 202010-0925-001 · OMB 0925-0667 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2 NDA Data Use Certification (DUC) Form and Instruction Modified Repair queued
Form 1 NDA Data Submission Agreement (DSA) Form and Instruction Modified Repair queued
pub 30-day FRN2020-22932.pdf Supplementary Document Uploaded 2020-10-19 Repair queued
D_NDA Consult List_09082020.docx Supplementary Document Uploaded 2020-10-07 Repair queued
A_Privacy Impact Assessment-NIH NIMH NDA_09182020.pdf Supplementary Document Uploaded 2020-10-07 Repair queued
0925-0667.SSA.REVISION.NIMH Data Archive_10052020.docx Supporting Statement A Uploaded 2020-10-07 Repair queued
NDA Data Use Certification_0925-0667_August 2019_TrackedChanges.docx Supplementary Document Uploaded 2019-08-15 Missing upstream
NDA Data Submission Agreement_0925-0667_August 2019_TrackedChanges (1).docx Supplementary Document Uploaded 2019-08-15 Available
NDA Non-Substantive Change Request Memo_0925-0667_August 2019v2.docx Justification for No Material/Nonsubstantive Change Uploaded 2019-08-15 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228276 NDA Data Use Certification (DUC) Form and Instruction Modified
228274 NDA Data Submission Agreement (DSA) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 01/31/2021
1,250 1,000
1,875 1,500
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
NDA Data Use Certification (DUC) 2 NDA Data Use Certification
NDA Data Submission Agreement (DSA) 1 NDA Data Submission Agreement

table that charts list of burden
  Total Request 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 1,250 1,000 0 250 0 0
Annual Time Burden (Hours) 1,875 1,500 0 375 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No