Information Collection

Fellowship Placement Pilot Program

IC 197765 under ICR 201312-2528-003 · OMB 2528-0272.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-424 Application for Federal Assistance Fellowship Placement Pilot Program	Form
Form SF-424 supplement Survey On Ensuring Equal Opportunity for Applicants Fellowship Placement Pilot Program	Form
Form SF-LLL Disclosure of Lobbying Activities 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:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SF-424	Yes	No	Paper Only
Form	SF-424 supplement	Yes	No	Paper Only
Form	SF-LLL	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
	Program Change Due to Agency Discretion	Previously Approved
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.

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