Phs Supplements To Standard A-102 Forms

PHS SUPPLEMENTS TO STANDARD A-102 FORMS

OMB: 0937-0011

IC ID: 165990

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PHS SUPPLEMENTS TO STANDARD A-102 FORMS
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PHS 5159 No No
Form PHS 5161-1,2 No No
Form 5162-1,2 No No
Form 5163 No No
Form 5164 No No
Form 5154 No No
Form 5159 No No
Form 5161-1 No No


    

12,800 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved 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 12,800 0 0 0 0 12,800
Annual IC Time Burden (Hours) 9,000 0 0 0 0 9,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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