OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

SCHARE Data Repository (SDR) Data Use Oversight System (DUOS)

IC 279178 under ICR 202508-0925-002 · OMB 0925-0775.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SCHARE Data Repository (SDR) Data Use Oversight System (DUOS)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Card Issuance Attachment 1-Institutional Signing Official Approval Card Issuance.pdf Yes Yes Fillable Fileable
Form 2 Data Access Request Attachment 2-Data Access Request.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

150 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 150 0 150 0 0 0
Annual IC Time Burden (Hours) 54 0 54 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Privacy Act Memo Attachment 4-Privacy Act SORN.pdf 02/23/2026
Mini SSA 0925-0775-2503 - SCHARE Data Repository Mini SSA.docx 02/25/2026
HomePage Attachment 3-DUOS homepage.pdf 02/25/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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