Information Collection

Autism Spectrum Disorder (ASD) Research Funder - U.S. Private

IC 238767 under ICR 202212-0925-001 · OMB 0925-0682.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0682 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Autism Spectrum Disorder (ASD) Research Funder - U.S. Private	Form
Form 1 Data Collection Spreadsheet Autism Spectrum Disorder (ASD) Research Funder - U.S. Private	Form
1 Data Collection Spreadsheet Attachment 4_0925_0682.EXTENSION.Data Collection Spreadsheet_04.29.22 (4).xlsx	Form
1 Data Collection Spreadsheet Attachment 4_0925_0682.EXTENSION.Data Collection Spreadsheet_04.29.22 (4).xlsx	Form
Attachment 3_0925_0682.EXTENSION.202X Autism Data Call Guidance_04.29.22.pdf Data Call Guidance	IC Document
Attachment 3_0925_0682.EXTENSION.202X Autism Data Call Guidance_04.29.22.pdf Data Call Guidance	IC Document

IC Title:

Autism Spectrum Disorder (ASD) Research Funder - U.S. Private

Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	675	108	567
Annual IC Time Burden (Hours)	169	27	142
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Data Call Guidance		12/14/2022

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

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