Data Request

Data and Specimen Hub (DASH) (NICHD)

OMB: 0925-0744

IC ID: 220216

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Data Request
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 4 Data Request 0925-0744_DASH_Attach-ment A.2-4_Data Request (1).docx Yes Yes Fillable Fileable

Health Health Care Services

 

60 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 60 0 0 0 0 60
Annual IC Time Burden (Hours) 60 0 0 0 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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