[NCHS} Research Data Center Data Security Forms for Access to Confidential Datafor the National Center for Health Statistics

Forms and Documents

Document	Type	Status	Availability
Data Use Agreement Conditions of Access to Confidential Data	Form and Instruction	Modified	Available
OMB0920-1393_Public Comments from 60d FRN_RDC Data Security Forms_Attachment B2_final.docx	Public Comments	Uploaded 2026-04-05	Available
OMB0920-1393_RDC Data Security Forms_Attachment D_03022026.docx	Supplementary Document	Uploaded 2026-06-18	Available
OMB0920-1393_SSB_RDC Data Security Forms_03022026.docx	Supporting Statement B	Uploaded 2026-06-18	Available
OMB0920-1393_SSA_RDC Data Security Forms_06022026_final.docx	Supporting Statement A	Uploaded 2026-06-18	Available
OMB0920-1393_60d FRN Notice_RDC Data Security Forms_Attachment B1.pdf	Supplementary Document	Uploaded 2026-06-18	Available
OMB0920-1393_Legislation_RDC Data Security Forms_Attachment A_03022026.docx	Supplementary Document	Uploaded 2026-06-18	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
258798	Data Use Agreement Conditions of Access to Confidential Data	Form and Instruction	Modified	Data Use Agreement Conditions of Access to Confidential Data

ICR Details

OMB Control No: 0920-1393	ICR Reference No: 202606-0920-007
Status: Received in OIRA	Previous ICR Reference No: 202302-0920-020
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0148
Title: [NCHS} Research Data Center Data Security Forms for Access to Confidential Datafor the National Center for Health Statistics
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/22/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	110	0
Time Burden (Hours)	110	0
Cost Burden (Dollars)	0	0

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Abstract: The goal of these forms is to collect information about a researcher's commitment to protect confidential data from unauthorized access and disclosure. NCHS is the Nation’s principal health statistics agency and compiles statistical information to guide actions and policies to improve the health of the U.S. population. The national surveys and data systems administered by NCHS are a unique public resource for health information, a critical element of public health and health policy. Making these data available to the public upon request is an essential mission of NCHS. NCHS endeavors to disseminate its data widely in accordance with the requirements of the Evidence Act (see 44 U.S.C. 3582). This is a reinstatement and has no significant changes.

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Authorizing Statute(s): US Code: 42 USC 242k(b)(4) Name of Law: Public Health Service Act
   US Code: 44 USC 3583(a) Name of Law: Confidential Information Protection and Statistical Efficiency Act of 2018
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 16198	04/01/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 36833	06/18/2026
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Data Use Agreement Conditions of Access to Confidential Data	n/a	Data Use Agreement Conditions of Access to Confidential Data

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ICR Summary 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	110	0	0	0	0	110
Annual Time Burden (Hours)	110	0	0	0	0	110
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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $33,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     No

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.     No

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

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Common Form ICR:  No

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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: 06/22/2026

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