Information Collection

[NCCDPHP] Templates for Extramural Data Management Plans

IC 242076 under ICR 202305-0920-008 · OMB 0920-1301.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1301 [NCCDPHP] Templates for Extramural Data Management Plans	Form and Instruction
0920-1301 1301 Att 2a NCCDPHP DMP Template 1301 Att 2a NCCDPHP DMP Template.docx	Form and Instruction
0920-1301 1301 Att 2a NCCDPHP DMP Template 1301 Att 2a NCCDPHP DMP Template.docx	Form and Instruction
1301 Att 2b_NCSTLTPHIW_DMP Template.docx 1301 Att 2b_NCSTLTPHIW_DMP Template	IC Document
1301 Att 2b_NCSTLTPHIW_DMP Template.docx 1301 Att 2b_NCSTLTPHIW_DMP Template	IC Document
1301 Att 2c NCEH_ATSDR_Extramural_DMP Templat.docx 1301 Att 2c NCEH_ATSDR_Extramural_DMP Templat	IC Document
1301 Att 2c NCEH_ATSDR_Extramural_DMP Templat.docx 1301 Att 2c NCEH_ATSDR_Extramural_DMP Templat	IC Document
1301 Att 2d NCIPC DMP Template.docx 1301 Att 2d NCIPC DMP Template	IC Document
1301 Att 2d NCIPC DMP Template.docx 1301 Att 2d NCIPC DMP Template	IC Document
1301 Att 2e_NCBDDD DMP Template.docx 1301 Att 2e_NCBDDD DMP Template	IC Document
1301 Att 2e_NCBDDD DMP Template.docx 1301 Att 2e_NCBDDD DMP Template	IC Document
1301 Att 2f NCEZID_DataManagePlan_Template.pdf 1301 Att 2f NCEZID_DataManagePlan_Template	IC Document
1301 Att 2f NCEZID_DataManagePlan_Template.pdf 1301 Att 2f NCEZID_DataManagePlan_Template	IC Document

IC Title:

Agency IC Tracking Number:

0920-1301

Is this a Common Form? Yes

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 and Instruction	0920-1301	1301 Att 2a NCCDPHP DMP Template	1301 Att 2a NCCDPHP DMP Template.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,450

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	Previously Approved
Annual Number of Responses for this IC	1,450	260	1,190
Annual IC Time Burden (Hours)	1,450	260	1,190
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1301 Att 2b_NCSTLTPHIW_DMP Template	1301 Att 2b_NCSTLTPHIW_DMP Template.docx	05/26/2023
1301 Att 2c NCEH_ATSDR_Extramural_DMP Templat	1301 Att 2c NCEH_ATSDR_Extramural_DMP Templat.docx	05/26/2023
1301 Att 2d NCIPC DMP Template	1301 Att 2d NCIPC DMP Template.docx	05/26/2023
1301 Att 2e_NCBDDD DMP Template	1301 Att 2e_NCBDDD DMP Template.docx	05/26/2023
1301 Att 2f NCEZID_DataManagePlan_Template	1301 Att 2f NCEZID_DataManagePlan_Template.pdf	05/26/2023

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