Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
398/424 PHS Human Subjects and Clinical Trial Information (includes inclusion enrollment report) Unchanged 54838 767732 0 Form and Instruction 16 PHS Human Subjects and Clinical Trial Information - Landing Page
Form 17 PHS Human Subjects and Clinical Trial Information - Inclusion Enrollment Report
Form 18 PHS Human Subjects and Clinical Trial Information - Sections 1-5
416-1 Unchanged 29 290 0 Form and Instruction 19 Attachment 7B PHS 416-1 Face Page 1
Instruction
Form and Instruction 20 Attachment 7C PHS 416-1 Face Page 2
Form and Instruction 21 Attachment 7D PHS 416-1 Face Page 3
Form and Instruction 22 Attachment 7E PHS 416-1 Face Page 4
Form and Instruction 23 Attachment 7F PHS 416-1 Checklist Form Page
Form and Instruction 24 Attachment 7G PHS 416-1 Continuation Page
Biosketch (424 Electronic) Unchanged 80946 161892 0 Form 12 General Biographical Sketch Format Page
Biosketch (Fellowship) Unchanged 6707 13414 0 Form and Instruction 15 Fellowship Applicant Biographical Sketch Format Page
Data Tables Unchanged 1515 6060 0 Form and Instruction 10 Introduction to the Data Tables
Fellowship Electronic PHS Human Subjects and Clinical Trial Information (includes inclusion enrollment report) Unchanged 5030 70420 0 Form 16 PHS Human Subjects and Clinical Trial Information - Landing Page
Form 17 PHS Human Subjects and Clinical Trial Information - Inclusion Enrollment Report
Form 18 PHS Human Subjects and Clinical Trial Information - Sections 1-5
PHS 398 Career Development Award Supplemental Form Unchanged 2251 22510 0 Form 11 PHS 398 Career Development Award Supplemental Form
PHS 398 Cover Page Supplement Unchanged 74239 74239 0 Form 4 PHS 398 Cover Page Supplement Form
PHS 398 Modular Budget Unchanged 56693 56693 0 Form and Instruction 5 PHS 398 Modular Budget Instructions
PHS 398 Paper Unchanged 4247 148645 0 Form 1 PHS 398 Paper Application Forms
Form and Instruction 2 PHS 398 Paper Application Instructions
PHS 398 Research Plan Unchanged 70866 708660 0 Form 8 PHS 398 Research Plan form
PHS 398 Research Training Program Plan Unchanged 1122 11220 0 Form 9 PHS 398 Research Training Program Plan Form
PHS 398 Training Budget Unchanged 1122 2244 0 Form 6 PHS 398 Training Budget Form
PHS 398 Training Subaward Budget Attachment(s) Form Unchanged 561 842 0 Form 7 Attachment 5M PHS 398 Training Subaward Budget Form
PHS 416-5 Unchanged 6707 559 0 Form and Instruction 29 PHS 416.5
PHS 6031 Unchanged 6217 518 0 Form and Instruction 25 PHS 6031
PHS Assignment Request Form Unchanged 3354 1677 0 Form 14 PHS Assignment Reqest Form
PHS Assignment Request Form Unchanged 37120 18560 0 Form 3 PHS Assignment Reqest Form
PHS Fellowship Supplemental Form (includes F reference letters) Unchanged 6707 83838 0 Form 13 PHS Fellowship Supplement Form
SBIR/STTR Funding Agreement Certification Unchanged 1500 375 0 Form and Instruction 27 SBIR Funding Agreement Certification
Form and Instruction 28 STTR Funding Agreement Certification
VCOC Certification Unchanged 6 1 0 Form and Instruction 26 VCOC Certification
Total burden requested under this ICR: 421777 2150389 0  
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