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Data Tables
PHS Applications and Pre-award Related Reporting (OD)
OMB: 0925-0001
IC ID: 217559
OMB.report
HHS/NIH
OMB 0925-0001
ICR 202012-0925-001
IC 217559
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0001 can be found here:
2022-10-05 - Revision of a currently approved collection
2022-07-22 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 10
Data Tables
Form and Instruction
10 Introduction to the Data Tables
Attachment 11A Introduction to the Data Tables.docx
Form and Instruction
Attachment 11B Undergraduate Training Tables.docx
Attachment 11B Undergraduate Training Tables
IC Document
Attachment 11D Consolidated International Training Tables.docx
Attachment 11D Consolidated International Training Tables
IC Document
Attachment 11C Consolidated Training Data Tables and Instructions 4-30-19.docx
Consolidated Training Tables
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Data Tables
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
10
Introduction to the Data Tables
Attachment 11A Introduction to the Data Tables.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,515
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,515
0
0
0
0
1,515
Annual IC Time Burden (Hours)
6,060
0
0
0
0
6,060
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 11B Undergraduate Training Tables
Attachment 11B Undergraduate Training Tables.docx
01/25/2017
Attachment 11D Consolidated International Training Tables
Attachment 11D Consolidated International Training Tables.docx
01/25/2017
Consolidated Training Tables
Attachment 11C Consolidated Training Data Tables and Instructions 4-30-19.docx
12/27/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.