416-1

PHS Applications and Pre-award Related Reporting (OD)

OMB: 0925-0001

IC ID: 217567

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

416-1
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 19 Attachment 7B PHS 416-1 Face Page 1 Attachment 7B PHS 416-1 face page 1_ FORMS-G clean.docx Yes Yes Fillable Fileable
Instruction Attachment 7A PHS416-1 Fellowship_Transfer instructions_FORMS-G.pdf.docx Yes Yes Paper Only
Form and Instruction 20 Attachment 7C PHS 416-1 Face Page 2 Attachment 7C PHS 416-1 face page 2_ FORMS-G.docx Yes Yes Fillable Fileable
Form and Instruction 21 Attachment 7D PHS 416-1 Face Page 3 Attachment 7D PHS 416-1 face page 3_ FORMS-G clean.docx Yes Yes Fillable Fileable
Form and Instruction 22 Attachment 7E PHS 416-1 Face Page 4 Attachment 7E PHS 416-1 face page 4_ FORMS-G.docx Yes Yes Fillable Fileable
Form and Instruction 23 Attachment 7F PHS 416-1 Checklist Form Page Attachment 7F PHS 416-1checklist form page_ FORMS-G clean.docx Yes Yes Fillable Fileable
Form and Instruction 24 Attachment 7G PHS 416-1 Continuation Page Attachment 7G PHS 416-1continuation page_FORMS-G.docx Yes Yes Fillable Fileable

Health Health Care Services

 

29 0
   
Private Sector Not-for-profit institutions
 
   0 %

  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 29 0 0 0 0 29
Annual IC Time Burden (Hours) 290 0 0 0 0 290
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
416-1 Performance sites FORMS-G Attachment 7H PHS 416-1 performancesites_FORMS-G clean.docx 08/10/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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