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PHS 398 Career Development Award Supplemental Form
PHS Applications and Pre-award Related Reporting (OD)
OMB: 0925-0001
IC ID: 217560
OMB.report
HHS/NIH
OMB 0925-0001
ICR 202210-0925-002
IC 217560
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0001 can be found here:
2024-09-25 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
PHS 398 Career Development Award Supplemental Form
Form and Instruction
1 PHS 398 Career Development Form Instructions
Attachment 5P_PHS 398 Career_Dev_Supp_Form_Instructions_FORMS-H.docx
Form and Instruction
1 PHS 398 Career Development Form Instructions
Attachment 5P_PHS 398 Career_Dev_Supp_Form_Instructions_FORMS-H.docx
Form and Instruction
Attachment 5P_PHS 398 Career_Dev_Supp_Form_Instructions_FORMS-H.docx
PHS Career Development Award Supplemental Instructions
IC Document
Attachment 5P_PHS 398 Career_Dev_Supp_Form_Instructions_FORMS-H.docx
PHS Career Development Award Supplemental Instructions
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PHS 398 Career Development Award Supplemental Form
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
PHS 398 Career Development Form Instructions
Attachment 5P_PHS 398 Career_Dev_Supp_Form_Instructions_FORMS-H.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:
2,251
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
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
2,251
0
0
0
0
2,251
Annual IC Time Burden (Hours)
22,510
0
0
0
0
22,510
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
PHS Career Development Award Supplemental Instructions
Attachment 5P_PHS 398 Career_Dev_Supp_Form_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.