Information Collection

SBIR/STTR Funding Agreement Certification

IC 217570 under ICR 201706-0925-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 27 SBIR Funding Agreement Certification SBIR/STTR Funding Agreement Certification	Form and Instruction
Form 28 STTR Funding Agreement Certification SBIR/STTR Funding Agreement Certification	Form and Instruction
27 SBIR Funding Agreement Certification Attachment 16A SBIR Funding Agreement Agreement Certification.docx	Form and Instruction
28 STTR Funding Agreement Certification Attachment 16B STTR Funding Agreement Agreement Certification.docx	Form and Instruction

IC Title:

SBIR/STTR Funding Agreement Certification

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	27				Yes	Yes	Fillable Fileable
Form and Instruction	28				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	375	375
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].