Information Collection

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

IC 279178 under ICR 202610-0925-001 · OMB 0925-0775.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0775 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Card Issuance SCHARE Data Repository (SDR) Data Use Oversight System (DUOS)	Form
Form 1 Card Issuance SCHARE Data Repository (SDR) Data Use Oversight System (DUOS)	Form
Form 2 Data Access Request SCHARE Data Repository (SDR) Data Use Oversight System (DUOS)	Form
Form 2 Data Access Request SCHARE Data Repository (SDR) Data Use Oversight System (DUOS)	Form
1 Card Issuance Attachment 1-Institutional Signing Official Approval Card Issuance.pdf	Form
1 Card Issuance Attachment 1-Institutional Signing Official Approval Card Issuance.pdf	Form
2 Data Access Request Attachment 2-Data Access Request.pdf	Form
2 Data Access Request Attachment 2-Data Access Request.pdf	Form
Attachment 4-Privacy Act SORN.pdf Privacy Act Memo	IC Document
Attachment 4-Privacy Act SORN.pdf Privacy Act Memo	IC Document
0925-0775-2503 - SCHARE Data Repository Mini SSA.docx Mini SSA	IC Document
0925-0775-2503 - SCHARE Data Repository Mini SSA.docx Mini SSA	IC Document
Attachment 3-DUOS homepage.pdf HomePage	IC Document
Attachment 3-DUOS homepage.pdf HomePage	IC Document

IC Title:

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

Agency IC Tracking Number:

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
Form	2				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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