Information Collection Request

NIH Information Collection Forms to Support Genomic Data Sharing for Research Purposes (OD)

ICR 202211-0925-001 · OMB 0925-0670 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0925-0670 can be found here:

Forms and Documents

Document Name	Status
Form 2 Provisional Institutional Certification Institutional Official to Certify Form and Instruction	New
Form 2 Provisional Institutional Certification Investigator filling out Form and Instruction	New
Form 2 Institutional Certification Institutional Official to Certify Submission Form and Instruction	New
Form 1 Project Renewal or Project Close-out Official to Certify Request Form and Instruction	Modified
Form 1 Project Renewal or Project Close-out Requester Submitting Request Form and Instruction	Modified
Form 1 Requesting Access to Data Signing Official to Certify Request Form and Instruction	Modified
Form 1 Data Access Request Form and Instruction	Modified
Form 2 Institutional Certification Investigator filing out Form and Instruction	Modified
Form 1 Study Registration and Data Submission Form and Instruction	Modified
GDS PRA SSA 2022 v6 (3).docx Supporting Statement A	2022-11-18
Attachment 3 - 06_1 HHS Privacy Impact Assessment-NIH NLM dbGaP Database of Genotype an.pdf Supplementary Document	2022-11-18

IC Document Collections

IC ID	Document Title	Status
257010	Provisional Institutional Certification Institutional Official to Certify Form and Instruction	New
257009	Provisional Institutional Certification Investigator filling out Form and Instruction	New
257006	Institutional Certification Institutional Official to Certify Submission Form and Instruction	New
236992	Project Renewal or Project Close-out Official to Certify Request Form and Instruction	Modified
236991	Project Renewal or Project Close-out Requester Submitting Request Form and Instruction	Modified
236987	Requesting Access to Data Signing Official to Certify Request Form and Instruction	Modified
236986	Data Access Request Form and Instruction	Modified
236985	Institutional Certification Investigator filing out Form and Instruction	Modified
236984	Study Registration and Data Submission Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/NIH
OMB Control No	0925-0670
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	201907-0925-004
Agency Tracking No	18667
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31