Information Collection Request

Electronic Application for NIH Certificates of Confidentiality (CoC E-application System)

ICR 202310-0925-001 · OMB 0925-0689 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Private sector Form and Instruction Unchanged Missing upstream
Revised assurance statement SEP2023.clean.docx Supplementary Document Uploaded 2023-10-05 Repair queued
Markup assurance statement SEP2023.pdf Supplementary Document Uploaded 2023-10-05 Missing upstream
OMB change request SEP 2023.1signed.pdf Justification for No Material/Nonsubstantive Change Uploaded 2023-10-04 Repair queued
Updated assurance statement 06022023.pdf Supplementary Document Uploaded 2023-06-15 Missing upstream
OMB change request JUN 2023.pk.pdf Justification for No Material/Nonsubstantive Change Uploaded 2023-06-15 Missing upstream
Change Request Memo.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-10-13 Missing upstream
pub 30day FRN2022-05474.pdf Supplementary Document Uploaded 2022-03-15 Repair queued
Attachment 2 - List of DHHS CoC Coordinators.docx Supplementary Document Uploaded 2022-03-14 Repair queued
CoC Support_StatementA_FINAL_MAR2022.docx Supporting Statement A Uploaded 2022-03-14 Repair queued
Attachment 3 - Privacy Impact Assessment (PIA) NOV 2021.pdf Supplementary Document Uploaded 2022-03-14 Repair queued
Attachment 4 - NIH Privacy Act Memo Applicability of the Privacy Act_CoC_FEB 2022.pdf Supplementary Document Uploaded 2022-03-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
252166 Private sector Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
04/30/2025 04/30/2025
795 795
1,193 1,193
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Private sector 1 Certification of Confidentiality

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 795 795 0 0 0 0
Annual Time Burden (Hours) 1,193 1,193 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No