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Biosketch (424 Electronic)
PHS Applications and Pre-award Related Reporting (OD)
OMB: 0925-0001
IC ID: 217561
OMB.report
HHS/NIH
OMB 0925-0001
ICR 202408-0925-001
IC 217561
( )
Documents and Forms
Document Name
Document Type
Form 1
Biosketch (424 Electronic)
Form
1 Form
Attachment 9A_Att A2_biosketch-blank-format-rev-10-2021.docx
Form
2 Form
Attachment 9B_Att B_General and Fellowship Biographical Sketch Instructions_6-28-2021.docx
Form
Attachment 9B_Att B_General and Fellowship Biographical Sketch Instructions_6-28-2021.docx
Attachment 9B General and Fellowship Biographical Sketch Instructions
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Biosketch (424 Electronic)
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
1
Form
Attachment 9A_Att A2_biosketch-blank-format-rev-10-2021.docx
Yes
Yes
Fillable Fileable
Form
2
Form
Attachment 9B_Att B_General and Fellowship Biographical Sketch Instructions_6-28-2021.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:
80,946
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
80,946
0
0
0
0
80,946
Annual IC Time Burden (Hours)
161,892
0
0
0
0
161,892
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Attachment 9B General and Fellowship Biographical Sketch Instructions
Attachment 9B_Att B_General and Fellowship Biographical Sketch Instructions_6-28-2021.docx
08/10/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.