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Research Materials Distribution Agreement
National Children's Study (NCS) Vanguard Data and Sample Archive and Access System (NICHD)
OMB: 0925-0730
IC ID: 220005
OMB.report
HHS/NIH
OMB 0925-0730
ICR 201508-0925-002
IC 220005
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0730 can be found here:
2019-02-06 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 4
Research Materials Distribution Agreement
Form and Instruction
4 Research Materials Distribution Agreement
Attachment A.4 Research Materials Distribution Agreement (RMDA)_02-04-2016_MARKED.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Research Materials Distribution Agreement
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
4
Research Materials Distribution Agreement
Attachment A.4 Research Materials Distribution Agreement (RMDA)_02-04-2016_MARKED.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
100
0
100
0
0
0
Annual IC Time Burden (Hours)
17
0
17
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.