View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	DASH User Feedback (NICHD)	Agency IC Tracking Number:

IC Status: Unchanged

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	1	DASH User Feedback Submission and Cataloging	0925-0648_Substudy_NICHD_DASH User Feedback_Submission and Cataloging Survey.docx		Yes	Yes	Fillable Fileable
Form	2	DASH User Feedback Data Requester Survey	0925-0648_Substudy_NICHD_DASH User Feedback_Data Requester Survey.docx		Yes	Yes	Fillable Fileable
Form	3	DASH User Feedback Biospecimen Requester Survey	0925-0648_Substudy_NICHD_DASH User Feedback_Biospecimen Requester Survey.docx		Yes	Yes	Fillable Fileable

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: 132	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	132	0	0	0	0	132
Annual IC Time Burden (Hours)	11	0	0	0	0	11
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
fast track DASH User Feedback surveys	0925-0648_Substudy_NICHD_DASH User feeback (1).docx	11/06/2020

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