Information Collection

Phs 416-7

IC 225309 under ICR 202012-0925-002 · OMB 0925-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 PHS 416-7	Form and Instruction
1 National Research Service Award Termination Notice Attachment 13 PHS 416-7 Instructions and Form.docx	Form and Instruction
28 Post Award eRA Commons Screen Shots xTrain, xTRACT Attachment 19B - Post-Award eRA Commons Screen Shots_xTrain_FORMS-F.pdf	Form and Instruction

IC Title:

PHS 416-7

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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	1	National Research Service Award Termination Notice	Attachment 13 PHS 416-7 Instructions and Form.docx		No		Paper Only
Form and Instruction	28	Post Award eRA Commons Screen Shots xTrain, xTRACT	Attachment 19B - Post-Award eRA Commons Screen Shots_xTrain_FORMS-F.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,580

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	12,580	12,580
Annual IC Time Burden (Hours)	6,290	6,290
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.