Attachment 1 Former, Revised, and New Content of Information Collection

Attachment 1 – Former, Revised, and New Content of Information Collections

Attachment Number	FORM NO.	TITLE/NOTATION	PREVIOUS OMB APPROVAL	NEW OMB APPROVAL	Revisions (y/n)?
PRE-award (0925-0001)
3, 4	PHS 398 [paper]	PHS Grant Application Forms and Instructions	0925-0001	0925-0001	Y
5A-S	PHS 398 [electronic]	PHS Grant Application component forms and agency specific instructions used in combination with the SF424 (R&R)	0925-0001	0925-0001	Y
6A-B	PHS Fellowship Supplemental Form [electronic]	PHS Fellowship Supplemental Form and agency specific instructions used in combination with the SF424 (R&R) forms/instructions for Fellowships	0925-0001	0925-0001	Y
7A-G	PHS 416-1 [paper]	PHS Ruth L. Kirschstein National Research Service Award Individual Fellowship Application Instructions and Forms used only for a change of sponsoring institution application	0925-0001	0925-0001	N
14	PHS Supplemental Grant Application Instructions	PHS Supplemental Grant Application Instructions for use with PHS 398 [paper], PHS 398 [electronic], PHS Fellowship Supplemental Form [electronic], and PHS416-1 [paper] application instructions	0925-0001; 0925-0002	0925-0001; 0925-0002	Y
8	Instructions for a Change of Sponsoring Institutions	Instructions for a Change of Sponsoring Institutions for NRSA Fellowships (F30, F31, F32 and F33) and non-NRSA Fellowships	0925-0001	0925-0001	Y
9A-C	General Biographical Sketch Format Page	General Biographical Sketch Format Page (use also for Fellowship Sponsor/Co-Sponsors)	0925-0001; 0925-0002	0925-0001; 0925-0002	Y
10A-C	Fellowship Applicant Biographical Sketch Format Page	Fellowship Applicant Biographical Sketch Format Page (use only for individual predoctoral and postdoctoral fellowships, dissertation research grants [R36],and Research Supplements to Promote Diversity in Health-Related Research [Admin Suppl])	0925-0001; 0925-0002	0925-0001; 0925-0002	Y
11A-D	NRSA Data Tables	Data tables for use with Institutional Research Training grant applications using the SF424 (R&R) and the RPPR	0925-0001; 0925-0002	0925-0001; 0925-0002	N
12	PHS 416-5	National Research Service Award Individual Fellowship Activation Notice	0925-0001	0925-0001	Y
13	PHS 6031	National Research Service Award Payback Agreement	0925-0001	0925-0001	N
17	Venture operating company (VCOC) Certification	Certification for SBIR Applicants that are majority-owned by multiple venture capital operating companies, hedge funds, or private equity firms	0925-0001	0925-0001	N
15	eRA Commons Profile Data Elements	A list of data collected in the eRA commons profile	0925-0001	0925-0001	Y
16A	SBIR Funding Agreement Certification	Certifications for SBIR/STTR applicants to determine eligibility for an SBIR/STTR award	0925-0001	0925-0001	N
16B	STTR Funding Agreement Certification	Certifications for SBIR/STTR applicants to determine eligibility for an SBIR/STTR award	0925-0001	0925-0001	N
18	Prior Approval Screen Shots	Optional electronic submission for current prior approval requests.	n/a	0925-0001; 0925-0002	Y (new item)
POST-AWARD (0925-0002)
3-4, 7, 8A-B, 9A-C, 10A-C	PHS 2590	Non-competing Continuation Progress Report	0925-0002	0925-0002	Y
5-6	RPPR and Final RPPR	PHS Research Performance Progress Report (RPPR) and Final RPPR	0925-0002	0925-0002	Y
8A-C	General Biographical Sketch Format Page	General Biographical Sketch Format Page (use also for Fellowship Sponsor/Co-Sponsors)	0925-0001; 0925-0002	0925-0001; 0925-0002	Y
9A-C	Fellowship Applicant Biographical Sketch Format Page	Fellowship Applicant Biographical Sketch Format Page (use only for individual predoctoral and postdoctoral fellowships, dissertation research grants [R36],and Research Supplements to Promote Diversity in Health-Related Research [Admin Suppl])	0925-0001; 0925-0002	0925-0001; 0925-0002	Y
10A-D	NRSA Data Tables	Data tables for use with Institutional Research Training grant applications using the SF424 (R&R) and RPPR	0925-0001; 0925-0002	0925-0001; 0925-0002	N
7	Trainee Diversity Report	Used with the RPPR and PHS 2590	0925-0002	0925-0002	N
11	My Bibliography Screen Shots	To be used with the RPPR and My Bibliography	0925-0002	0925-0002	N
13, 19B	PHS 416-7	National Research Service Award Termination Notice	0925-0002	0925-0002	Y
12, 19B	PHS 2271	Statement of Appointment	0925-0002	0925-0002	N
14	PHS 6031-1	National Research Service Award Annual Payback Activities Certification	0925-0002	0925-0002	N
15	HHS 568	Final Invention Statement and Certification	0925-0002	0925-0002	N
17	Final Progress Report	Final Progress Report Instructions [previously incorporated into the PHS 2590]	0925-0002	0925-0002	N
16A-F	iEdison	Interagency Edison Reporting System	0925-0002	0925-0002	N
18	PHS 3734	Official Statement Relinquishing Interest and Rights in a PHS Research Grant	0925-0002	0925-0002	N
20A	SBIR Life Cycle Certification	Certifications for SBIR/STTR grantees to confirm continuing compliance with program requirements	0925-0002	0925-0002	N
20B	STTR Life Cycle Certification	Certifications for SBIR/STTR grantees to confirm continuing compliance with program requirements	0925-0002	0925-0002	N
21	Prior Approval Screen Shots	Optional electronic submission for current prior approval requests.	n/a	0925-0001; 0925-0002	Y (new item)