Information Collection

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

IC 166021 under ICR 199309-0937-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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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	Previously Approved
Annual Number of Responses for this IC	8,066	20	8,046
Annual IC Time Burden (Hours)	33,605	80	33,525
Annual IC Cost Burden (Dollars)	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.