Information Collection

Research Data Center Proposal (Application)

IC 251366 under ICR 202506-0920-005 · OMB 0920-1363.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Research Data Center Proposal (Application)	Form and Instruction
RDC Proposal Research Data Center Proposal (Application)	Form and Instruction
RDC Proposal RDC Proposal - PRA Attachment C 11082024.docx	Form and Instruction
RDC Proposal RDC Proposal - PRA Attachment C 11082024.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	n/a				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0167 Health Resources Utilization Statistics

FR Citation: 49 FR 37693

Number of Respondents: 110

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	110	0	110
Annual IC Time Burden (Hours)	330	0	330
Annual IC Cost Burden (Dollars)	0	-8,933	8,933

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.

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