PHS Supplements to Application for Federal Assistance (SF 424)

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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)	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.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC.0113	No	No
Form	PHS-5161-1	No	No
Form	CDC.124(E)	No	No
Form	OPHS-1	No	No
Form	SF-424	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16,994	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20,989	3,995	16,994
Annual IC Time Burden (Hours)	43,011	300	42,711
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.