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Research Data Center Proposal (Application)
Research Data Center (RDC) Proposal for Access to Confidential Data for the National Center for Health Statistics
OMB: 0920-1363
IC ID: 251366
OMB.report
HHS/CDC
OMB 0920-1363
ICR 202112-0920-015
IC 251366
( )
Documents and Forms
Document Name
Document Type
Research Data Center Proposal (Application)
Form and Instruction
RDC Proposal
Attachment C_RDC Proposal_01132022.docx
Form and Instruction
RDC Proposal
Attachment C_RDC Proposal_01132022.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Research Data Center Proposal (Application)
Agency IC Tracking Number:
Is this a Common Form?
No
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
n/a
RDC Proposal
Attachment C_RDC Proposal_01132022.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0167 Health Resources Utilization Statistics
FR Citation:
49 FR 37693
Number of Respondents:
110
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
110
0
110
0
0
0
Annual IC Time Burden (Hours)
330
0
330
0
0
0
Annual IC Cost Burden (Dollars)
8,933
0
8,933
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.