Information Collection

Data Submission Certification (New System)

IC 236992 under ICR 202508-0925-001 · OMB 0925-0670.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Data Submission Certification Data Submission Certification (New System)	Form
Form 1 Data Submission Certification Data Submission Certification (New System)	Form
1 Data Submission Certification Attachment 2 - Data Submission Certification_9-05-25_FINAL.docx	Form
1 Data Submission Certification Attachment 2 - Data Submission Certification_9-05-25_FINAL.docx	Form

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	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Extramural Awards and Chartered Advisory Committees (IMPAC 2), Contract Information (DCIS), and Cooperative Agreement Information

FR Citation: 67 FR 60751

Number of Respondents: 33

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	33	-38,967	39,000
Annual IC Time Burden (Hours)	17	-38,983	39,000
Annual IC Cost Burden (Dollars)	0	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.

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