Information Collection

PHS Supplements to Application for Federal Assistance (SF 424)

IC 37772 under ICR 200402-0920-013 · OMB 0920-0428.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0428 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)	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.124(E)	No	No
Form	CDC.0113	No	No
Form	SF-424	No	No
Form	PHS-5161-1	No	No
Form	OPHS-1	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,548	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	21,289	155	21,134
Annual IC Time Burden (Hours)	48,815	386	48,429
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.