PHS 398 Modular Budget

PHS Applications and Pre-award Related Reporting (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0001 can be found here:

Documents and Forms

Document Name Document Type
Form 5 PHS 398 Modular Budget Form and Instruction
5 PHS 398 Modular Budget Form PHS398_ModularBudget_1_2-V1.2_FORMS-G (1).pdf Form and Instruction
5 PHS 398 Modular Budget Form PHS398_ModularBudget_1_2-V1.2_FORMS-G (1).pdf Form and Instruction
PHS_Additional_IndirectCosts_2_0-V2.0_FORMS-G.pdf PHS Additional Indirect Cost FORMS G IC Document
PHS_Additional_IndirectCosts_2_0-V2.0_FORMS-G.pdf PHS Additional Indirect Cost FORMS G IC Document
PHS_Additional_IndirectCosts_form_Instructions_FORMS-G.pdf PHS Additional IndirectCost form Instructions Form-G IC Document
PHS_Additional_IndirectCosts_form_Instructions_FORMS-G.pdf PHS Additional IndirectCost form Instructions Form-G IC Document
Attachment 5H_PHS 398 Modular Budget_Instructions_FORMS-H.docx Attachment 5H-I: PHS 398 Modular Budget IC Document
Attachment 5H_PHS 398 Modular Budget_Instructions_FORMS-H.docx Attachment 5H-I: PHS 398 Modular Budget IC Document

Information Collection (IC) Details

IC Title:	PHS 398 Modular Budget	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	5	PHS 398 Modular Budget Form	PHS398_ModularBudget_1_2-V1.2_FORMS-G (1).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56,693	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	56,693	56,693
Annual IC Time Burden (Hours)	56,693	56,693
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PHS Additional Indirect Cost FORMS G	PHS_Additional_IndirectCosts_2_0-V2.0_FORMS-G.pdf	08/10/2021
PHS Additional IndirectCost form Instructions Form-G	PHS_Additional_IndirectCosts_form_Instructions_FORMS-G.pdf	08/10/2021
Attachment 5H-I: PHS 398 Modular Budget	Attachment 5H_PHS 398 Modular Budget_Instructions_FORMS-H.docx	10/05/2022

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