Phs 2590

PHS Research Performance Progress Report and Other Post-award Reporting (OD)

OMB: 0925-0002

IC ID: 217418

Documents and Forms

Document Name Document Type
Form 11 PHS 2590 Form
11 PHS 2590 Forms Attachment 3 PHS 2590_forms_FORMS-G clean.pdf Form
11 PHS 2590 Forms Attachment 3 PHS 2590_forms_FORMS-G clean.pdf Form
12 Trainee Diversity Report Attachment 7 Trainee Diversity Report.pdf Form
12 Trainee Diversity Report Attachment 7 Trainee Diversity Report.pdf Form
13 General Non-Fellowship Biographical Sketch Format Page Attachment 8A_Att A2_General Non-Fellowship Biographical Sketch Format Page_6-28-2021.docx Form
13 General Non-Fellowship Biographical Sketch Format Page Attachment 8A_Att A2_General Non-Fellowship Biographical Sketch Format Page_6-28-2021.docx Form
14 Fellowship Applicant Biographical Sketch Format Page Attachment 9A_Att A1_Fellowship Biographical Sketch Format Page_6-28-2021.docx Form
14 Fellowship Applicant Biographical Sketch Format Page Attachment 9A_Att A1_Fellowship Biographical Sketch Format Page_6-28-2021.docx Form
15 Fellowship Applicant Biographical Sketch Postdoctoral Sa Attachment 9B Fellowship Applicant Biographical Sketch Postdoctoral Sample.docx Form
15 Fellowship Applicant Biographical Sketch Postdoctoral Sa Attachment 9B Fellowship Applicant Biographical Sketch Postdoctoral Sample.docx Form
16 Fellowship Applicant Biographical Sketch Predoctoral Sam Attachment 9C Fellowship Applicant Biographical Sketch Predoctoral Sample.docx Form
16 Fellowship Applicant Biographical Sketch Predoctoral Sam Attachment 9C Fellowship Applicant Biographical Sketch Predoctoral Sample.docx Form
15 Revised - Fellowship Applicant Biographical Sketch Forma Att A1 Biographical Sketch - Fellowship_Changes Highlighted (002).docx Form and Instruction
15 Revised - Fellowship Applicant Biographical Sketch Forma Att A1 Biographical Sketch - Fellowship_Changes Highlighted (002).docx Form and Instruction
Attachment 4 phs2590 instructions_FORMS-G clean.docx PHS 2590 Instructions IC Document
Attachment 4 phs2590 instructions_FORMS-G clean.docx PHS 2590 Instructions IC Document
Attachment 8B_Att B_General and Fellowship Biographical Sketch Instructions_6-28-2021.docx General and Fellowship Biographical Sketch Instructions IC Document
Attachment 8B_Att B_General and Fellowship Biographical Sketch Instructions_6-28-2021.docx General and Fellowship Biographical Sketch Instructions IC Document
Attachment 10A Introduction to the Data Tables_FORMS-G.docx Introduction to the Data Tables IC Document
Attachment 10A Introduction to the Data Tables_FORMS-G.docx Introduction to the Data Tables IC Document
Attachment 10B Undergraduate Training Tables_FORMS-G.docx Undergraduate Training Tables IC Document
Attachment 10B Undergraduate Training Tables_FORMS-G.docx Undergraduate Training Tables IC Document
Attachment 10C Consolidated_Training_Tables_FORMS-G.docx Consolidated Training Tables IC Document
Attachment 10C Consolidated_Training_Tables_FORMS-G.docx Consolidated Training Tables IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PHS 2590	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	11	PHS 2590 Forms	Attachment 3 PHS 2590_forms_FORMS-G clean.pdf	Yes	Yes	Fillable Fileable
Form	12	Trainee Diversity Report	Attachment 7 Trainee Diversity Report.pdf	Yes	Yes	Fillable Fileable
Form	13	General Non-Fellowship Biographical Sketch Format Page	Attachment 8A_Att A2_General Non-Fellowship Biographical Sketch Format Page_6-28-2021.docx	Yes	Yes	Fillable Fileable
Form	14	Fellowship Applicant Biographical Sketch Format Page	Attachment 9A_Att A1_Fellowship Biographical Sketch Format Page_6-28-2021.docx	Yes	Yes	Fillable Fileable
Form	15	Fellowship Applicant Biographical Sketch Postdoctoral Sample	Attachment 9B Fellowship Applicant Biographical Sketch Postdoctoral Sample.docx	Yes	Yes	Fillable Fileable
Form	16	Fellowship Applicant Biographical Sketch Predoctoral Sample	Attachment 9C Fellowship Applicant Biographical Sketch Predoctoral Sample.docx	Yes	Yes	Fillable Fileable
Form and Instruction	15	Revised - Fellowship Applicant Biographical Sketch Format Page	Att A1 Biographical Sketch - Fellowship_Changes Highlighted (002).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: 243	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	243	243
Annual IC Time Burden (Hours)	4,374	4,374
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PHS 2590 Instructions	Attachment 4 phs2590 instructions_FORMS-G clean.docx	08/10/2021
General and Fellowship Biographical Sketch Instructions	Attachment 8B_Att B_General and Fellowship Biographical Sketch Instructions_6-28-2021.docx	08/10/2021
Introduction to the Data Tables	Attachment 10A Introduction to the Data Tables_FORMS-G.docx	08/10/2021
Undergraduate Training Tables	Attachment 10B Undergraduate Training Tables_FORMS-G.docx	08/10/2021
Consolidated Training Tables	Attachment 10C Consolidated_Training_Tables_FORMS-G.docx	08/10/2021

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