iEdison

PHS Research Performance Progress Report and Other Post-award Reporting (OD)

OMB: 0925-0002

IC ID: 217416

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 4 iEdison Form and Instruction
4 iEdison Burden Statement Attachment 16A iEdison Burden Statement.docx Form and Instruction
4 iEdison Burden Statement Attachment 16A iEdison Burden Statement.docx Form and Instruction
5 iEdison Screen Shot Manage Utilization Report Attachment 16B iEdison Screen Shots_Manage Utilization Reports.pdf Form and Instruction
5 iEdison Screen Shot Manage Utilization Report Attachment 16B iEdison Screen Shots_Manage Utilization Reports.pdf Form and Instruction
6 iEdison screen shot Invention Disclosure Report Attachment 16C iEdison Screen Shots_Invention Disclosure Report.pdf Form and Instruction
6 iEdison screen shot Invention Disclosure Report Attachment 16C iEdison Screen Shots_Invention Disclosure Report.pdf Form and Instruction
7 iEdison screen shot Patent Record Attachment 16D iEdison Screen Shots_Patent Record.pdf Form and Instruction
7 iEdison screen shot Patent Record Attachment 16D iEdison Screen Shots_Patent Record.pdf Form and Instruction
8 iEdison screen shot Registration Request Form Attachment 16F iEdison Screen Shots_Registration Request Form.pdf Form and Instruction
8 iEdison screen shot Registration Request Form Attachment 16F iEdison Screen Shots_Registration Request Form.pdf Form and Instruction
Attachment 16E iEdison Screen Shots_PVP_Entry_Procedure.pdf Attachment 16E iEdison PVP entry procedure IC Document
Attachment 16E iEdison Screen Shots_PVP_Entry_Procedure.pdf Attachment 16E iEdison PVP entry procedure IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	iEdison	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4	iEdison Burden Statement	Attachment 16A iEdison Burden Statement.docx	Yes	Yes	Fillable Fileable
Form and Instruction	5	iEdison Screen Shot Manage Utilization Report	Attachment 16B iEdison Screen Shots_Manage Utilization Reports.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	6	iEdison screen shot Invention Disclosure Report	Attachment 16C iEdison Screen Shots_Invention Disclosure Report.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	7	iEdison screen shot Patent Record	Attachment 16D iEdison Screen Shots_Patent Record.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	8	iEdison screen shot Registration Request Form	Attachment 16F iEdison Screen Shots_Registration Request Form.pdf	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: 5,697	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,697	5,697
Annual IC Time Burden (Hours)	1,424	1,424
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 16E iEdison PVP entry procedure	Attachment 16E iEdison Screen Shots_PVP_Entry_Procedure.pdf	07/09/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.