NCI Genomic Data Commons (GDC) Data Submission Request Form - Center for Cancer Genomics (CCG) (NCI)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Request Form	Form	Modified	Available
Attachment 3 - Privacy Act Memo.pdf	Supplementary Document	Uploaded 2026-04-07	Available
Attachment 2 - GDC PIA.pdf	Supplementary Document	Uploaded 2026-04-07	Available
30day 0752.pdf	Supplementary Document	Uploaded 2026-04-07	Available
SSA GDC EXTENSION.docx	Supporting Statement A	Uploaded 2026-04-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
225740	GDC Data Submission Request Form	Form	Modified	Request Form

ICR Details

OMB Control No: 0925-0752	ICR Reference No: 202604-0925-001
Status: Received in OIRA	Previous ICR Reference No: 202303-0925-001
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: NCI Genomic Data Commons (GDC) Data Submission Request Form - Center for Cancer Genomics (CCG) (NCI)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/07/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	100	200
Time Burden (Hours)	25	50
Cost Burden (Dollars)	0	0

---

Abstract: This is a request for OMB to approve an extension for an additional three (3) years. The purpose of the NCI Genomic Data Commons (GDC) Data Submission Request Form is to provide a vehicle for investigators to request submission of their cancer genomic data into the GDC to support data sharing. The purpose is also to provide a mechanism for the GDC Data Submission Review Committee to review and assess the data submission request for applicability to the GDC mission. The scope of the form involves obtaining information from investigators that: 1) would like to submit data about their study into the GDC, 2) are affiliated with studies that adhere to GDC data submission conditions. The benefits of the collection are that it provides the needed information for investigators to understand the types of studies and data that the GDC supports. It also allows for a standard mechanism for the GDC to assess incoming data submission requests.

---

Authorizing Statute(s): US Code: 42 USC 285 and 285a-1 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 4570	02/02/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 16206	04/01/2026
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
GDC Data Submission Request Form	1	Request Form

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	100	200	0	-100	0	0
Annual Time Burden (Hours)	25	50	0	-25	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is an extension of a currently approved submission. The number of respondents decreased from 200 respondents in the 2022 submission to 100 respondents in this current submission without any changes to the scope, questions, or forms. The only other changes include annual updates to cost of living for federal and labor costs and updated personnel due to staffing changes. A switch in software from Kayako to NCI ServiceNow did not alter data collection characteristics.

---

Annual Cost to Federal Government: $12,351

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/07/2026

---