Information Collection

398/424 Forms and Instructions (Electronic)

IC 182171 under ICR 200910-0925-002 · OMB 0925-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2 BIOGRAPHICAL SKETCH Sample 398/424 Forms and Instructions (Electronic)	Form
Form 3 CDAF 398/424 Forms and Instructions (Electronic)	Form
Form 5 Checklist 398/424 Forms and Instructions (Electronic)	Form
Form 6 Continuation 398/424 Forms and Instructions (Electronic)	Form
Form 7 Enrollment 398/424 Forms and Instructions (Electronic)	Form
Form 8 Enrollment Report 398/424 Forms and Instructions (Electronic)	Form
Form 10 FP1 Continued 398/424 Forms and Instructions (Electronic)	Form
Form 13 FP4 398/424 Forms and Instructions (Electronic)	Form
Form 14 FP5 398/424 Forms and Instructions (Electronic)	Form
Form 15 Labels 398/424 Forms and Instructions (Electronic)	Form
Form 16 NRSAFP3 398/424 Forms and Instructions (Electronic)	Form
Form 17 NRSAFP4 398/424 Forms and Instructions (Electronic)	Form
Form 18 NRSAFP5 398/424 Forms and Instructions (Electronic)	Form
Form 19 Other Support 398/424 Forms and Instructions (Electronic)	Form
Form 20 Performance Site 398/424 Forms and Instructions (Electronic)	Form
Form 21 Personal 398/424 Forms and Instructions (Electronic)	Form
Form 24 Component 398/424 Forms and Instructions (Electronic)	Form
Form 1 biosketch 398/424 Forms and Instructions (Electronic)	Form
Form 22 personnelreport 398/424 Forms and Instructions (Electronic)	Form
Form 23 resources 398/424 Forms and Instructions (Electronic)	Form
Form 12 fp3 398/424 Forms and Instructions (Electronic)	Form
Form 11 fp2 398/424 Forms and Instructions (Electronic)	Form
Form 9 fp1 398/424 Forms and Instructions (Electronic)	Form
datatable2.doc	Instruction
datatable3.doc	Instruction
datatable5.doc	Instruction
datatable6.doc	Instruction
datatable7a.doc	Instruction
datatable8a.doc	Instruction
datatable9a.doc	Instruction
datatable10.doc	Instruction
datatable11.doc	Instruction
datatable12b.doc	Instruction
DataTableInstruct.doc	Instruction
DataTableIntro.doc	Instruction
datatables1-12.doc	Instruction
SampleTables.doc	Instruction
datatable1.doc	Instruction
rev.datatable4.doc	Instruction
rev.datatable12a.doc	Instruction
2 BIOGRAPHICAL SKETCH Sample 9-07_biosketchsample.doc	Form
3 CDAF 9-07_cdafp3.doc	Form
5 Checklist 9-07_checklist.doc	Form
6 Continuation 9-07_continuation.doc	Form
7 Enrollment 9-07_enrollment.doc	Form
8 Enrollment Report 9-07_enrollmentreport.doc	Form
10 FP1 Continued 9-07_fp1-cont.doc	Form
13 FP4 9-07_fp4.doc	Form
14 FP5 9-07_fp5.doc	Form
15 Labels 9-07_labels.doc	Form
16 NRSAFP3 9-07_nrsafp3.doc	Form
17 NRSAFP4 9-07_nrsafp4.doc	Form
18 NRSAFP5 9-07_nrsafp5.doc	Form
19 Other Support 9-07_othersupport.doc	Form
20 Performance Site 9-07_performancesite.doc	Form
21 Personal 9-07_personal.doc	Form
24 Component 398 component forms.pdf	Form
1 biosketch rev.biosketch.doc	Form
22 personnelreport rev.personnelreport.doc	Form
23 resources rev.resources.doc	Form
12 fp3 rev.fp3.doc	Form
11 fp2 rev.fp2.doc	Form
9 fp1 rev.fp1.doc	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

398/424 Forms and Instructions (Electronic)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2	Yes	Yes	Paper Only
Form	3	Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Form	5	Yes	Yes	Paper Only
Form	6	Yes	Yes	Paper Only
Form	7	Yes	Yes	Paper Only
Form	8	Yes	Yes	Paper Only
Form	10	Yes	Yes	Paper Only
Form	13	Yes	Yes	Paper Only
Form	14	Yes	Yes	Paper Only
Form	15	Yes	Yes	Paper Only
Form	16	Yes	Yes	Paper Only
Form	17	Yes	Yes	Paper Only
Form	18	Yes	Yes	Paper Only
Form	19	Yes	Yes	Paper Only
Form	20	Yes	Yes	Paper Only
Form	21	Yes	Yes	Paper Only
Form	24	Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Form	1	Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Instruction		Yes	Yes	Paper Only
Form	22	Yes	Yes	Paper Only
Form	23	Yes	Yes	Paper Only
Form	12	Yes	Yes	Paper Only
Form	11	Yes	Yes	Paper Only
Form	9	Yes	Yes	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57,685

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 66 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	57,685	57,685
Annual IC Time Burden (Hours)	1,269,070	1,269,070
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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