Data and Specimen Hub (DASH) (NICHD)

OMB 0925-0744

This is a request to revise the previously approved submission (OMB number: 0925-0744) to add the collection of additional information from Users who will request biospecimens, submit the Institutional Certification for data/biospecimen inventory, and submit DASH data/biospecimen Annual Progress Report for the NICHD Data and Specimen Hub (DASH).

The latest form for Data and Specimen Hub (DASH) (NICHD) expires 2022-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Data Request Renewal Form
Form 1 Study Catalog Submission Form
Form 1 Institutional Certification Template Form
Form 1 External Resource Catalog Submission Form
Form 1 Data Request Annual Progress Report Form
Form 1 Biospecimen Request Form
Form 1 Data Request Form
Form 1 Data and Biospecimen Catalog Submission Form
Form 1 User Registration Form
Attachment A.3-1_NICHD DASH Privacy Impact Assessment (PIA).pdf Supplementary Document
DASH 30 day notice.pdf Supplementary Document
NICHD_DASH_PrivacyActMemo.docx Supplementary Document
Supporting Statement A (SSA) 0925-0744 rev 6.24.24.docx Supporting Statement A
Data Request Renewal Form
Study Catalog Submission Form
Institutional Certification Template Form
External Resource Catalog Submission Form
Data Request Annual Progress Report Form
Biospecimen Request Form
Data Request Form
Data and Biospecimen Catalog Submission Form
User Registration Form

All Historical Document Collections

202404-0925-001 Approved without change	Revision of a currently approved collection	2024-06-25
202104-0925-002 Approved with change	Revision of a currently approved collection	2021-04-20
201811-0925-002 Approved with change	Revision of a currently approved collection	2018-11-27
201602-0925-014 Approved with change	New collection (Request for a new OMB Control Number)	2016-03-01

OMB Details

User Registration

Federal Enterprise Architecture: Health - Health Care Services

Form 1

User Registration

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.