PHS Assignment Request Form

PHS Applications and Pre-award Related Reporting (OD)

OMB: 0925-0001

IC ID: 202959

Information Collection (IC) Details

View Information Collection (IC)

PHS Assignment Request Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 3 PHS Assignment Reqest Form Attachment 5C PHS Assignment Request Form.docx Yes Yes Fillable Fileable

Health Health Care Services

 

37,120 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 37,120 0 0 0 0 37,120
Annual IC Time Burden (Hours) 18,560 0 0 0 0 18,560
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PHS Assignment Request Instructions Attachment 5B PHS Assignment Request Instructions.docx 01/25/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy