Institutional Certification Template

Data and Specimen Hub (DASH) (NICHD)

OMB: 0925-0744

IC ID: 234076

Information Collection (IC) Details

View Information Collection (IC)

Institutional Certification Template
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Institutional Certification Template 0925-0744_DASH_Attach-ment A.2-3_Institutional Certification Template (1).docx Yes Yes Fillable Fileable

Health Health Care Services

Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD  67 FR 60742

36 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 36 0 0 0 0 36
Annual IC Time Burden (Hours) 3 0 0 0 0 3
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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