Information Collection

Data and Biospecimen Catalog Submission

IC 220215 under ICR 202404-0925-001 · OMB 0925-0744.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0744 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Data and Biospecimen Catalog Submission Form
1 Data and Biospecimen Catalog Attachment A.2-2_Data and Biospecimen Catalog Submission_OMB 0925-0744_2024 0215.docx Form
1 Data and Biospecimen Catalog Attachment A.2-2_Data and Biospecimen Catalog Submission_OMB 0925-0744_2024 0215.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Data and Biospecimen Catalog Submission	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Data and Biospecimen Catalog	Attachment A.2-2_Data and Biospecimen Catalog Submission_OMB 0925-0744_2024 0215.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD	FR Citation: 67 FR 60742

Number of Respondents: 36	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.