Information Collection

Templates for Extramural Data Management Plans

IC 242076 under ICR 202209-0920-022 · OMB 0920-1301.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1301 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-19BLE Templates for Extramural Data Management Plans	Form and Instruction
0920-19BLE DMP Template 19BLE Att 2a DMP Template May 26 2020.docx	Form and Instruction
0920-19BLE DMP Template 19BLE Att 2a DMP Template May 26 2020.docx	Form and Instruction
0920-19BLE CSTLTS_DMP Template 19BLE Att 2b_CSTLTS_DMP Template Final (1).docx	Form and Instruction
0920-19BLE CSTLTS_DMP Template 19BLE Att 2b_CSTLTS_DMP Template Final (1).docx	Form and Instruction
0920-19BLE NCEH_DMP Template 19BLE Att 2c_NCEH_DMP Template Final.docx	Form and Instruction
0920-19BLE NCEH_DMP Template 19BLE Att 2c_NCEH_DMP Template Final.docx	Form and Instruction
0920-19BLE NCIPC DMP Template 19BLE Att 2d_NCIPC DMP Template Final.docx	Form and Instruction
0920-19BLE NCIPC DMP Template 19BLE Att 2d_NCIPC DMP Template Final.docx	Form and Instruction
0920-19BLE NCBDDD DMP Template 19BLE Att 2e_NCBDDD DMP Template Final.docx	Form and Instruction
0920-19BLE NCBDDD DMP Template 19BLE Att 2e_NCBDDD DMP Template Final.docx	Form and Instruction
0920-19BLE NCEZID-DHQP DMP Template Att A DMP Template Final.pdf	Form and Instruction
0920-19BLE NCEZID-DHQP DMP Template Att A DMP Template Final.pdf	Form and Instruction
OMB Control Header and Burden Statement.docx OMB Control Header and Burden Statement	IC Document
OMB Control Header and Burden Statement.docx OMB Control Header and Burden Statement	IC Document

IC Title:

Templates for Extramural Data Management Plans

Agency IC Tracking Number:

0920-19BLE

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-19BLE	DMP Template	19BLE Att 2a DMP Template May 26 2020.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-19BLE	CSTLTS_DMP Template	19BLE Att 2b_CSTLTS_DMP Template Final (1).docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-19BLE	NCEH_DMP Template	19BLE Att 2c_NCEH_DMP Template Final.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-19BLE	NCIPC DMP Template	19BLE Att 2d_NCIPC DMP Template Final.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-19BLE	NCBDDD DMP Template	19BLE Att 2e_NCBDDD DMP Template Final.docx	Yes	Yes	Fillable Fileable
Form and Instruction	0920-19BLE	NCEZID-DHQP DMP Template	Att A DMP Template Final.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,190

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	Previously Approved
Annual Number of Responses for this IC	1,190	1,190
Annual IC Time Burden (Hours)	1,190	1,190
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Control Header and Burden Statement	OMB Control Header and Burden Statement.docx	09/26/2022

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