Information Collection

Fellowship Placement Pilot Program

IC 197765 under ICR 201105-2528-003 · OMB 2528-0272.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2528-0272 can be found here:

Documents and Forms

Document Name Document Type
Form SF-424 Fellowship Placement Pilot Program Form
SF-424 Application for Federal Assistance sf424 form.docx Form
SF-424 supplement Survey On Ensuring Equal Opportunity for Applicants sf424sup (2).pdf Form
SF-LLL Disclosure of Lobbying Activities sflllin.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Fellowship Placement Pilot Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-424	Application for Federal Assistance	sf424 form.docx	Yes	No	Paper Only
Form	SF-424 supplement	Survey On Ensuring Equal Opportunity for Applicants	sf424sup (2).pdf	Yes	No	Paper Only
Form	SF-LLL	Disclosure of Lobbying Activities	sflllin.pdf	Yes	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27	27
Annual IC Time Burden (Hours)	448	448
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.