Data Request Annual Progress Report

Data and Specimen Hub (DASH) (NICHD)

Documents and Forms

Document Name Document Type
Form 1 Data Request Annual Progress Report Form
1 Data Request Annual Progress Report Attachment A.2-6_Data Request Annual Progress Report_OMB 0925-0744_2024.docx Form
1 Data Request Annual Progress Report Attachment A.2-6_Data Request Annual Progress Report_OMB 0925-0744_2024.docx Form

Information Collection (IC) Details

IC Title:	Data Request Annual Progress Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	1	Data Request Annual Progress Report	Attachment A.2-6_Data Request Annual Progress Report_OMB 0925-0744_2024.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Clinical, Basic and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD	FR Citation: 67 FR 60742

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	240	180	60
Annual IC Time Burden (Hours)	120	110	10
Annual IC Cost Burden (Dollars)	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.