NDAR Data Access Request (NIMH)

ICR 202305-0925-002

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0925-0667 can be found here:

Forms and Documents

Document Name	Status
Form 2 NDA Data Use Certification (DUC) Form and Instruction	Modified
Form 1 NDA Data Submission Agreement (DSA) Form and Instruction	Modified
0925-0667.SSA.REVISION.NIMH Data Archive_05.09.23.docx Supporting Statement A	2023-05-18
A_Privacy Impact Assessment-NIH NIMH NDA.pdf Supplementary Document	2023-05-18
D_NDA Consult List.docx Supplementary Document	2023-05-17
30-day notice 0667.pdf Supplementary Document	2023-05-17

IC Document Collections

IC ID	Document Title	Status
228276	NDA Data Use Certification (DUC) Form and Instruction	Modified
228274	NDA Data Submission Agreement (DSA) Form and Instruction	Modified

ICR Details