Information Collection

Data Use Certification for NIH Brain Development Cohorts

IC 262234 under ICR 202309-0925-001 · OMB 0925-0780.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0780 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Data Use Certification for NIH Brain Development Cohorts	Form and Instruction
Form 1 DUC for NIH Brain Development Cohorts Data Use Certification for NIH Brain Development Cohorts	Form and Instruction
1 DUC for NIH Brain Development Cohorts Attachment 1 - DUC for NIH Brain Development Cohorts.docx	Form and Instruction
1 DUC for NIH Brain Development Cohorts Attachment 1 - DUC for NIH Brain Development Cohorts.docx	Form and Instruction

IC Title:

Data Use Certification for NIH Brain Development Cohorts

Agency IC Tracking Number:

Is this a Common Form? No

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				Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	1,800	1,800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].