Information Collection

PHS 398 Modular Budget

IC 202980 under ICR 202408-0925-001 · OMB 0925-0001.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 PHS 398 Modular Budget	Form
Form 1 Form PHS 398 Modular Budget	Form
Form 2 Form PHS 398 Modular Budget	Form
Form 3 Form PHS 398 Modular Budget	Form
Form 4 Form PHS 398 Modular Budget	Form
1 Form Attachment 5H_PHS 398 Modular Budget Form_Instructions_FORMS-I.docx	Form
1 Form Attachment 5H_PHS 398 Modular Budget Form_Instructions_FORMS-I.docx	Form
2 Form Attachment 5I_PHS398_ModularBudget_1_2-V1.2.pdf	Form
2 Form Attachment 5I_PHS398_ModularBudget_1_2-V1.2.pdf	Form
3 Form Attachment 5U_PHS_Additional_IndirectCosts_2_0-V2.0.pdf	Form
3 Form Attachment 5U_PHS_Additional_IndirectCosts_2_0-V2.0.pdf	Form
4 Form Attachment 5V_PHS Additional Indirect Costs Form_Instructions_FORMS-I.docx	Form
4 Form Attachment 5V_PHS Additional Indirect Costs Form_Instructions_FORMS-I.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Yes	Yes	Fillable Fileable
Form	2	Yes	Yes	Fillable Fileable
Form	3	Yes	Yes	Fillable Fileable
Form	4	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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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