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Common Data Elements (CDE) Project Request Form (NINDS)
Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)
OMB: 0925-0766
IC ID: 242507
OMB.report
HHS/NIH
OMB 0925-0766
ICR 202301-0925-002
IC 242507
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:
2023-07-31 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Common Data Elements (CDE) Project Request Form (NINDS)
Form and Instruction
Form 1
Common Data Elements (CDE) Project Request Form (NINDS)
Form and Instruction
1 NINDS CDE Project form
NINDS CDE Project Request Form.docx
Form and Instruction
1 NINDS CDE Project form
NINDS CDE Project Request Form.docx
Form and Instruction
NINDS CDE project request form 2020_final.docx
NINDS CDE Request form sub study
IC Document
NINDS CDE project request form 2020_final.docx
NINDS CDE Request form sub study
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Common Data Elements (CDE) Project Request Form (NINDS)
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
NINDS CDE Project form
NINDS CDE Project Request Form.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:
20
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
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
20
0
0
0
0
20
Annual IC Time Burden (Hours)
7
0
0
0
0
7
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NINDS CDE Request form sub study
NINDS CDE project request form 2020_final.docx
06/29/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.