Information Collection

SBIR/STTR Funding Agreement Certification

IC 217570 under ICR 202006-0925-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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/STTR Funding Agreement Certification	Form and Instruction
27 SBIR Life Cycle Certification Attachment 16A SBIR-Life-Cycle-Certification_Dec 2019.docx	Form and Instruction
28 STTR Life Cycle Certification Attachment 16B STTR Life Cycle Certification_Dec 2019.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	SBIR Life Cycle Certification	Attachment 16A SBIR-Life-Cycle-Certification_Dec 2019.docx		Yes	Yes	Fillable Fileable
Form and Instruction	28	STTR Life Cycle Certification	Attachment 16B STTR Life Cycle Certification_Dec 2019.docx		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
	Approved	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.