Change Request Memo for PHS 6031

OMB Change Request Memo PHS 6031.docx

PHS Applications and Pre-award Related Reporting (OD)

Change Request Memo for PHS 6031

OMB: 0925-0001

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DATE: April 27, 2020


TO: Quinn Hirsch

Office of Management and Budget (OMB)

Reports Clearance Officer, DHHS


FROM: Mikia P. Currie

Chief, Project Clearance Branch


SUBJECT: Change Request to a Currently Approved Form

(OMB # 0925-0001, Expiration Date 2/28/2023)



This is a request for OMB to approve a non-substantial modification to Form PHS 6031 Payback Agreement of OMB # 0925-0001.


The change to PHS 6031 Payback Agreement:


  • updated language under Payback Requirements section to provide clarifying guidance on the service requirement and how individuals may satisfy the obligation, (see red-line strikethrough attached)



Your full consideration is appreciated.



Attachment A: PHS 6031 Payback Agreement

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorcurrend
File Modified0000-00-00
File Created2021-01-13

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