Information Collection

BRAIN Initiative Alliance Toolmakers Web Form (NINDS)

IC 258584 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 BRAIN Initiative Alliance Toolmakers Web Form (NINDS)	Form and Instruction
1 Toolmakers Web Form FINALToolmakers Web Form - The BRAIN Initiative Alliance.pdf	Form and Instruction
FINALBIA Toolmakers Webform_SubstudyTemplate_02.02.23.docx Template	IC Document
FINALBIA web form advertising language.docx Recruitment Materials	IC Document

IC Title:

BRAIN Initiative Alliance Toolmakers Web Form (NINDS)

Agency IC Tracking Number:

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	1	Toolmakers Web Form	FINALToolmakers Web Form - The BRAIN Initiative Alliance.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19

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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	19	19
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template	FINALBIA Toolmakers Webform_SubstudyTemplate_02.02.23.docx	02/15/2023
Recruitment Materials	FINALBIA web form advertising language.docx	02/15/2023

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