Information Collection

Research Data Center Proposal (Application)

IC 251366 under ICR 202112-0920-015 · OMB 0920-1363.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1363 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Research Data Center Proposal (Application)	Form and Instruction
RDC Proposal Attachment C_RDC Proposal_01132022.docx	Form and Instruction
RDC Proposal Attachment C_RDC Proposal_01132022.docx	Form and Instruction

IC Title:

Research Data Center Proposal (Application)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	RDC Proposal	Attachment C_RDC Proposal_01132022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0167 Health Resources Utilization Statistics

FR Citation: 49 FR 37693

Number of Respondents: 110

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	330	330
Annual IC Cost Burden (Dollars)	8,933	8,933

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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