Information Collection Request

Data Use Certification for the NIH Brain Development Cohorts (NBDC), (NIDA)

ICR 202505-0925-003 · OMB 0925-0780 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Form Form Modified Available
Form 1 American Indian Alaska Native Data Use Statement and Progress Report Form Modified Repair queued
Form 1 Form Form Modified Available
Form 1 General Data Use Statement and Progress Report Form Modified Repair queued
Supporting Statement A for NBDC DUC REVISION-_OMB Control Number 0925-0780.docx Supporting Statement A Uploaded 2025-05-29 Available
Supporting Statement A for NBDC DUC REVISION-_OMB Control Number 0925-0780.docx Supporting Statement A Uploaded 2025-05-29 Repair queued
Attachment 3 - Privacy Act Memo- signed.pdf Supplementary Document Uploaded 2025-05-29 Available
Attachment 3 - Privacy Act Memo- signed.pdf Supplementary Document Uploaded 2025-05-29 Repair queued
30day NIDA.pdf Supplementary Document Uploaded 2025-05-29 Available
30day NIDA.pdf Supplementary Document Uploaded 2025-05-29 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
262235 American Indian Alaska Native Data Use Statement and Progress Report Form ModifiedForm
262235 American Indian Alaska Native Data Use Statement and Progress Report Form Modified
262234 General Data Use Statement and Progress Report Form ModifiedForm
262234 General Data Use Statement and Progress Report Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2028 36 Months From Approved 10/31/2026
2,000 0 2,000
2,000 0 2,000
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
American Indian Alaska Native Data Use Statement and Progress Report 1
General Data Use Statement and Progress Report 1

table that charts list of burden
  Total Approved 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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 2,000 2,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No