Download:
pdf |
pdf0MB Number: 4040-0010
Expiration Date: mm/dd/yyyy
Project Abstract Summary
Program Announcement (CFDA)
I
Program Announcement (Funding Opportunity Number)
Closing Date
Applicant Name
I
I
Length of Proposed Project
I
Application Control No.
I
Federal Share Requested (for each year)
s1
Federal Share 1st Year
Federal Share 4th Year
$I
I
I
s1
Federal Share 2nd Year
Federal Share 5th Year
s1
Non-Federal Share Requested (for each year)
Non-Federal Share 1st Year
I
$I
Non-Federal Share 4th Year
$1
I
Project Title
Non-Federal Share 2nd Year
I
I
$1
I
Non-Federal Share 5th Year
s1
I
sI
I
sI
I
Federal Share 3rd Year
Non-Federal Share 3rd Year
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 4040-0010
The time required to complete this information collection is estimated to average 1 hour per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information
collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer
File Type | application/pdf |
File Modified | 2018-10-15 |
File Created | 2018-10-12 |