Information Collection

Phs Supplements To Application For Federal Assistance (sf-424), Project Approval Checklist And Program Narrative Instructions

IC 112438 under ICR 199201-0937-001 · OMB 0937-0189.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0937-0189 can be found here:

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PHS SUPPLEMENTS TO APPLICATION FOR FEDERAL ASSISTANCE (SF-424), PROJECT APPROVAL CHECKLIST AND PROGRAM NARRATIVE INSTRUCTIONS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PHS-5161-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,046	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,046	3,769	1,277	3,000
Annual IC Time Burden (Hours)	33,525	20,000	6,775	6,750
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

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