PEI Application BusinessPartner

Collection of grant and contract data that may be of interest to Historically Black Colleges and Universities (HBCUs) and small businesses (OD/OALM)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0767 can be found here:

Documents and Forms

Document Name Document Type
Form 2 PEI Application BusinessPartner Form and Instruction
2 PEI Application - Business Partner PEI Application-BusinessPartner_final.pdf Form and Instruction
2 PEI Application - Business Partner PEI Application-BusinessPartner_final.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	PEI Application BusinessPartner	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	PEI Application - Business Partner	PEI Application-BusinessPartner_final.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0156 “Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD	FR Citation: 67 FR 60765

Number of Respondents: 6	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.