Research and Research Training Grant Applications and Related Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3B PHS 398	Form	Modified	Available
Form 3A PHS 398 Paper Application Forms	Form	Modified	Available
Form Attachment 10 Payment Agreement	Form and Instruction	New	Available
Form Attachment 9 Fellowship Activation Notice	Form and Instruction	New	Repair queued
Form 7C Face Page 2	Form and Instruction	New	Available
Form 7H Continuation Page	Form and Instruction	New	Repair queued
Form 7G Checklist Form Page	Form and Instruction	New	Available
Form 7F SPONSOR/CO-SPONSOR BIOGRAPHICAL SKETCH	Form and Instruction	New	Available
Form 7E Face Page 4	Form and Instruction	New	Available
Form 7D Project Performance Site Format	Form and Instruction	New	Repair queued
Form 7C Face Page 3	Form and Instruction	New	Available
Form 7B Face Page	Form and Instruction	New	Available
Form 6B Fellowship Supplemental Form	Form and Instruction	New	Repair queued
Form 6A PHS 398 Fellowship Supplemental Form	Form and Instruction	New	Available
Form 1 3734	Form	Removed	Available
Form 1 568	Form	Removed	Available
Form 1 2271	Form	Removed	Available
Form 7 fp7	Form	Removed	Available
Form 16 Trainee	Form	Removed	Available
Form 15 Enrollment Report	Form	Removed	Available
Form 14 Enrollment	Form	Removed	Available
Form 13 Continuation	Form	Removed	Repair queued
Form 12 BIOGRAPHICAL SKETCH Sample	Form	Removed	Available
Form 11 BIOGRAPHICAL SKETCH	Form	Removed	Repair queued
Form 10 Other Support	Form	Removed	Available
Form 9 NRSA5	Form	Removed	Repair queued
Form 8 NRSA2	Form	Removed	Available
Form 6 FP6	Form	Removed	Available
Form 5 FP5	Form	Removed	Available
Form 4 FP3	Form	Removed	Available
Form 3 FP2	Form	Removed	Repair queued
Form 2 FP1 Continued	Form	Removed	Available
Form 1 FP1	Form	Removed	Available
Form 1 iEdison	Form	Removed	Available
Form 1 Career Development	Form	Removed	Available
Form 5G PHS 398 Research Training Program Plan	Form and Instruction	Modified	Available
Form 5E Career Development	Form and Instruction	Modified	Available
Form 5D Career Development for Instructions	Form and Instruction	Modified	Available
Form 5C Research Plan Form	Form and Instruction	Modified	Available
Form 5B Research Plan Instructions	Form and Instruction	Modified	Available
Form 5A Components of an Application to NIH or Other PHS Ag	Form and Instruction	Modified	Available
Attachment 8 Fellowship Transfer Instructions.doc	Supplementary Document	Uploaded 2012-06-30	Available
Attachment 1 Former and Revised Content of Information Collections.docx	Supplementary Document	Uploaded 2012-06-30	Available
Attachment 2 CFDA.xlsx	Supplementary Document	Uploaded 2012-06-30	Available
Attachment 12 eRA Commons Profile Data Elements.xls	Supplementary Document	Uploaded 2012-06-30	Available
Supporting Statement for 0925-0001 June 26 2012.docx	Supporting Statement A	Uploaded 2012-06-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37814	398 Forms and Instructions (Paper)	Instruction	Modified
37814	398 Forms and Instructions (Paper)	Form	Modified	PHS 398
37814	398 Forms and Instructions (Paper)	Form	Modified	PHS 398 Paper Application Forms
202980	6031	Form and Instruction	New	Payment Agreement
202979	416-5	Form and Instruction	New	Fellowship Activation Notice
202963	416-1	Form and Instruction	New	Face Page 2
202963	416-1	Form and Instruction	New	Continuation Page
202963	416-1	Form and Instruction	New	Checklist Form Page
202963	416-1	Form and Instruction	New	SPONSOR/CO-SPONSOR BIOGRAPHICAL SKETCH
202963	416-1	Form and Instruction	New	Face Page 4
202963	416-1	Form and Instruction	New	Project Performance Site Format
202963	416-1	Form and Instruction	New	Face Page 3
202963	416-1	Form and Instruction	New	Face Page
202963	416-1	Instruction	New
202959	PHS Fellowship Supplemental Form (electronic)	Form and Instruction	New	Fellowship Supplemental Form
202959	PHS Fellowship Supplemental Form (electronic)	Form and Instruction	New	PHS 398 Fellowship Supplemental Form
182179	3734	Form	Removed	3734
182178	568	Form	Removed	568
182177	2271	Form	Removed	2271
182176	2590	Instruction	Removed
182176	2590	Form	Removed	fp7
182176	2590	Form	Removed	Trainee
182176	2590	Form	Removed	Enrollment Report
182176	2590	Form	Removed	Enrollment
182176	2590	Form	Removed	Continuation
182176	2590	Form	Removed	BIOGRAPHICAL SKETCH Sample
182176	2590	Form	Removed	BIOGRAPHICAL SKETCH
182176	2590	Form	Removed	Other Support
182176	2590	Form	Removed	NRSA5
182176	2590	Form	Removed	NRSA2
182176	2590	Form	Removed	FP6
182176	2590	Form	Removed	FP5
182176	2590	Form	Removed	FP3
182176	2590	Form	Removed	FP2
182176	2590	Form	Removed	FP1 Continued
182176	2590	Form	Removed	FP1
182175	iEdison	Form	Removed	iEdison
182172	CDA Letters	Form	Removed	Career Development
182171	398 Forms and Instructions (Electronic)	Instruction	Modified
182171	398 Forms and Instructions (Electronic)	Form and Instruction	Modified	PHS 398 Research Training Program Plan
182171	398 Forms and Instructions (Electronic)	Form and Instruction	Modified	Career Development
182171	398 Forms and Instructions (Electronic)	Form and Instruction	Modified	Career Development for Instructions
182171	398 Forms and Instructions (Electronic)	Form and Instruction	Modified	Research Plan Form
182171	398 Forms and Instructions (Electronic)	Form and Instruction	Modified	Research Plan Instructions
182171	398 Forms and Instructions (Electronic)	Form and Instruction	Modified	Components of an Application to NIH or Other PHS Ag

ICR Details

OMB Control No: 0925-0001	ICR Reference No: 201206-0925-007
Status: Historical Active	Previous ICR Reference No: 201101-0925-007
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Research and Research Training Grant Applications and Related Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/06/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/30/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved	08/31/2012
Responses	94,326	0	160,135
Time Burden (Hours)	2,051,794	0	2,251,501
Cost Burden (Dollars)	0	0	0

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Abstract: The National Institutes of Health (NIH) and other Public Health Service (PHS) agencies currently use the Research and Research Training Grant Applications and Related Forms (0925-0001) and Ruth L. Kirschstein National Research Service Award (NRSA) Applications and Related Forms (0925-0002). Both 0925-0001 and 0925-0002 will expire on June 30, 2012. In 2009, application and pre-award related forms were simultaneously submitted under both 0925-0001 and 0925-0002. This 0925-0001 submission consolidates application and other related pre-award reporting requirements previously collected under 0925-0001 and 0925-002. Post-award reporting requirements previously collected under 0925-0001 and 0925-0002, and the New Research Performance Progress Report (RPPR), are similarly consolidated and concurrently submitted under 0925-0002.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service
   US Code: 42 USC 285 Name of Law: public Health Serice Act
   US Code: 42 USC 216 Name of Law: Public health Service Act
   US Code: 42 USC 286 Name of Law: Public Health Service Act
   US Code: 42 USC 300 Name of Law: Public Health Service Act
   US Code: 42 USC 288 Name of Law: Public Health Serive Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 13132	03/05/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 38842	06/29/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
2271	1	2271
2590	1, 2, 3, 4, 5, 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 7	FP1 ,   FP1 Continued ,   FP2 ,   FP3 ,   FP5 ,   FP6 ,   NRSA2 ,   NRSA5 ,   Other Support ,   BIOGRAPHICAL SKETCH ,   BIOGRAPHICAL SKETCH Sample ,   Continuation ,   Enrollment ,   Enrollment Report ,   Trainee ,   fp7
3734	1	3734
398 Forms and Instructions (Electronic)	5G, 5A, 5B, 5C, 5D, 5E	Components of an Application to NIH or Other PHS Ag ,   Research Plan Instructions ,   Research Plan Form ,   Career Development for Instructions ,   Career Development ,   PHS 398 Research Training Program Plan
398 Forms and Instructions (Paper)	3A, 3B	PHS 398 Paper Application Forms ,   PHS 398
416-1	7B, 7C, 7D, 7E, 7F, 7G, 7H, 7C	Face Page ,   Face Page 3 ,   Project Performance Site Format ,   Face Page 4 ,   SPONSOR/CO-SPONSOR BIOGRAPHICAL SKETCH ,   Checklist Form Page ,   Continuation Page ,   Face Page 2
416-5	Attachment 9	Fellowship Activation Notice
568	1	568
6031	Attachment 10	Payment Agreement
CDA Letters	1	Career Development
PHS Fellowship Supplemental Form (electronic)	6A, 6B	PHS 398 Fellowship Supplemental Form ,   Fellowship Supplemental Form
iEdison	1	iEdison

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	94,326	160,135	0	-65,809	0	0
Annual Time Burden (Hours)	2,051,794	2,251,501	0	-199,707	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This submission represents program changes; previous estimated total burden hours for 0925-0001 was 2,251,500, current estimated total burden hours for 0925-0001 is 2,051,494. This represents a slight decrease of 6 hours since the last approval. This is attributed to the reconfiguration of 0925-0001 and 0925-0002 into pre- and post-award forms as detailed in Attachment 1.

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Annual Cost to Federal Government: $1,500,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/30/2012

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