Information Collection Request

NDAR Data Access Request (NIMH)

ICR 202305-0925-002 · OMB 0925-0667 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 2 NDA Data Use Certification (DUC) Form and Instruction Modified Repair queued
Form 1 NDA Data Submission Agreement (DSA) Form and Instruction Modified Missing upstream
0925-0667.SSA.REVISION.NIMH Data Archive_05.09.23.docx Supporting Statement A Uploaded 2023-05-18 Repair queued
A_Privacy Impact Assessment-NIH NIMH NDA.pdf Supplementary Document Uploaded 2023-05-18 Repair queued
D_NDA Consult List.docx Supplementary Document Uploaded 2023-05-17 Repair queued
30-day notice 0667.pdf Supplementary Document Uploaded 2023-05-17 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
228276 NDA Data Use Certification (DUC) Form and Instruction Modified
228274 NDA Data Submission Agreement (DSA) Form and Instruction Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/NIH
OMB Control No0925-0667
Type of Information CollectionRevision of a currently approved collection
Previous ICR Reference No202110-0925-002
Agency Tracking No21290
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31