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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.