Information Collection

398 Forms and Instructions (Electronic)

IC 182171 under ICR 201206-0925-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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 5A 398 Forms and Instructions (Electronic)	Form and Instruction
Attachment 11 Supplemental Instructions for PHS 398 and PHS 416 Applications.doc	Instruction
5A Components of an Application to NIH or Other PHS Ag Attachment 5A PHS 398 and SF 424 (R&R) Form Components.doc	Form and Instruction
5B Research Plan Instructions Attachment 5B PHS 398 Research Plan Instructions.doc	Form and Instruction
5C Research Plan Form Attachment 5C PHS 398 Research Plan Form.doc	Form and Instruction
5D Career Development for Instructions Attachment 5D PHS 398 Career Development Form Instructions.doc	Form and Instruction
5E Career Development Attachment 5E PHS 398 Career Development Form.doc	Form and Instruction
5G PHS 398 Research Training Program Plan Attachment 5G PHS 398 Research Training Program Plan Form.doc	Form and Instruction

IC Title:

398 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.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5A	Components of an Application to NIH or Other PHS Ag	Attachment 5A PHS 398 and SF 424 (R&R) Form Components.doc	Yes	Yes	Fillable Fileable
Form and Instruction	5B	Research Plan Instructions	Attachment 5B PHS 398 Research Plan Instructions.doc	Yes	Yes	Fillable Fileable
Form and Instruction	5C	Research Plan Form	Attachment 5C PHS 398 Research Plan Form.doc	Yes	Yes	Fillable Fileable
Form and Instruction	5D	Career Development for Instructions	Attachment 5D PHS 398 Career Development Form Instructions.doc	Yes	Yes	Fillable Fileable
Form and Instruction	5E	Career Development	Attachment 5E PHS 398 Career Development Form.doc	Yes	Yes	Fillable Fileable
Form and Instruction	5G	PHS 398 Research Training Program Plan	Attachment 5G PHS 398 Research Training Program Plan Form.doc	Yes	Yes	Fillable Fileable
Instruction			Attachment 11 Supplemental Instructions for PHS 398 and PHS 416 Applications.doc	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 76,312

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 66 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	76,312	18,627	57,685
Annual IC Time Burden (Hours)	1,678,864	409,794	1,269,070
Annual IC Cost Burden (Dollars)	0	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.