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Attachment 1 Former, Revised, and New Content of Information Collection

ICR 202003-0925-004 · OMB 0925-0002 · Object 99651901.

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAttachment 1 Former, Revised, and New Content of Information Collection
Authorwigglesc
Last Modified ByWriter
File Modified2017-01-12
File Created2026-07-14
Conversion Statecomplete
Extracted Text
Attachment 1 – Former, Revised, and New Content of Information Collections
Attachment Number
FORM NO.
TITLE/NOTATION
PREVIOUS OMB APPROVAL
NEW OMB APPROVAL
Revisions (y/n)? 




PRE-award (0925-0001)



3, 4
PHS 398  [paper]
PHS Grant Application Forms and Instructions
0925-0001
0925-0001
Y



5A-S
PHS 398 [electronic] 
PHS Grant Application component forms and agency specific instructions used in combination with the SF424 (R&R)
0925-0001
0925-0001
Y



6A-B
PHS Fellowship Supplemental Form
[electronic]
PHS Fellowship Supplemental Form and agency specific instructions used in combination with the SF424 (R&R) forms/instructions for Fellowships
0925-0001
0925-0001
Y



7A-G
PHS 416-1 [paper]
PHS Ruth L. Kirschstein National Research Service Award Individual Fellowship Application Instructions and Forms used only for a change of sponsoring institution application
0925-0001
0925-0001
N



14
PHS Supplemental Grant Application Instructions
PHS Supplemental Grant Application Instructions for use with PHS 398 [paper], PHS 398 [electronic], PHS Fellowship Supplemental Form [electronic], and PHS416-1 [paper] application instructions
0925-0001;
0925-0002
0925-0001;
0925-0002
Y



8
Instructions for a Change of Sponsoring Institutions
Instructions for a Change of Sponsoring Institutions for NRSA Fellowships (F30, F31, F32 and F33) and non-NRSA Fellowships
0925-0001
0925-0001
Y



9A-C
General Biographical Sketch Format Page
General Biographical Sketch Format Page (use also for Fellowship Sponsor/Co-Sponsors)
0925-0001;
0925-0002
0925-0001;
0925-0002
Y



10A-C
Fellowship Applicant Biographical Sketch Format Page
Fellowship Applicant Biographical Sketch Format Page  (use only for individual predoctoral and postdoctoral fellowships, dissertation research grants [R36],and Research Supplements to Promote Diversity in Health-Related Research [Admin Suppl])
0925-0001;
0925-0002
0925-0001;
0925-0002
Y



11A-D
NRSA Data Tables
Data tables for use with Institutional Research Training grant applications using the SF424 (R&R) and the RPPR
0925-0001;
0925-0002
0925-0001;
0925-0002
N



12
PHS 416-5
National Research Service Award Individual Fellowship Activation Notice
0925-0001
0925-0001
Y



13
PHS 6031
National Research Service Award Payback Agreement
0925-0001
0925-0001
N



17
Venture operating company (VCOC) Certification
Certification for SBIR Applicants that are majority-owned by multiple venture capital operating companies, hedge funds, or private equity firms
0925-0001
0925-0001
N



15
eRA Commons Profile Data Elements
A list of data collected in the eRA commons profile 
0925-0001
0925-0001
Y



16A
SBIR Funding Agreement Certification
Certifications for SBIR/STTR applicants to determine eligibility for an SBIR/STTR award
0925-0001
0925-0001
N



16B
STTR Funding Agreement Certification
Certifications for SBIR/STTR applicants to determine eligibility for an SBIR/STTR award
0925-0001
0925-0001
N



18
Prior Approval Screen Shots
Optional electronic submission for current prior approval requests. 
n/a
0925-0001; 0925-0002
Y (new item)




POST-AWARD  (0925-0002)




3-4, 7, 8A-B, 9A-C, 10A-C
PHS 2590
Non-competing Continuation Progress Report
0925-0002
0925-0002
Y



5-6
RPPR and Final RPPR
PHS Research Performance Progress Report (RPPR) and Final RPPR
0925-0002
0925-0002
Y



8A-C
General Biographical Sketch Format Page
General Biographical Sketch Format Page (use also for Fellowship Sponsor/Co-Sponsors)
0925-0001;
0925-0002
0925-0001;
0925-0002
Y



9A-C
Fellowship Applicant Biographical Sketch Format Page
Fellowship Applicant Biographical Sketch Format Page  (use only for individual predoctoral and postdoctoral fellowships, dissertation research grants [R36],and Research Supplements to Promote Diversity in Health-Related Research [Admin Suppl])
0925-0001;
0925-0002
0925-0001;
0925-0002
Y



10A-D
NRSA Data Tables
Data tables for use with Institutional Research Training grant applications using the SF424 (R&R) and RPPR
0925-0001;
0925-0002
0925-0001;
0925-0002
N



7
Trainee Diversity Report
Used with the RPPR and PHS 2590
0925-0002
0925-0002
N



11
My Bibliography Screen Shots
To be used with the RPPR and My Bibliography
0925-0002
0925-0002
N



13, 19B
PHS 416-7
National Research Service Award Termination Notice
0925-0002
0925-0002
Y



12, 19B
PHS 2271
Statement of Appointment
0925-0002
0925-0002
N



14
PHS 6031-1
National Research Service Award Annual Payback Activities Certification
0925-0002
0925-0002
N



15
HHS 568
Final Invention Statement and Certification
0925-0002
0925-0002
N



17
Final Progress Report 
Final Progress Report Instructions [previously incorporated into the PHS 2590]
0925-0002
0925-0002
N



16A-F
 iEdison
Interagency Edison Reporting System
0925-0002 
0925-0002 
N



18
PHS 3734
Official Statement Relinquishing Interest and Rights in a PHS Research Grant
0925-0002
0925-0002
N



20A
SBIR Life Cycle Certification
Certifications for SBIR/STTR grantees to confirm continuing compliance with program requirements
0925-0002
0925-0002
N



20B
STTR Life Cycle Certification
Certifications for SBIR/STTR grantees to confirm continuing compliance with program requirements
0925-0002
0925-0002
N



21
Prior Approval Screen Shots
Optional electronic submission for current prior approval requests. 
n/a
0925-0001; 0925-0002
Y (new item)