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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
398 Forms and Instructions (Paper)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
2
BIOGRAPHICAL SKETCH Sample
9-07_biosketchsample.doc
Yes
Yes
Paper Only
Form
3
CDAF
9-07_cdafp3.doc
Yes
Yes
Paper Only
Instruction
datatable2.doc
Yes
Yes
Paper Only
Form
5
Checklist
9-07_checklist.doc
Yes
Yes
Paper Only
Form
6
Continuation
9-07_continuation.doc
Yes
Yes
Paper Only
Form
7
Enrollment
9-07_enrollment.doc
Yes
Yes
Paper Only
Form
8
Enrollment Report
9-07_enrollmentreport.doc
Yes
Yes
Paper Only
Form
10
FP1 Continued
9-07_fp1-cont.doc
Yes
Yes
Paper Only
Form
13
FP4
9-07_fp4.doc
Yes
Yes
Paper Only
Form
14
FP5
9-07_fp5.doc
Yes
Yes
Paper Only
Form
15
Labels
9-07_labels.doc
Yes
Yes
Paper Only
Form
16
NRSAFP3
9-07_nrsafp3.doc
Yes
Yes
Paper Only
Form
17
NRSAFP4
9-07_nrsafp4.doc
Yes
Yes
Paper Only
Form
18
NRSAFP5
9-07_nrsafp5.doc
Yes
Yes
Paper Only
Form
19
Other Support
9-07_othersupport.doc
Yes
Yes
Paper Only
Form
20
Performance Site
9-07_performancesite.doc
Yes
Yes
Paper Only
Form
21
Personal
9-07_personal.doc
Yes
Yes
Paper Only
Form
24
Component
398 component forms.pdf
Yes
Yes
Paper Only
Instruction
datatable3.doc
Yes
Yes
Paper Only
Instruction
datatable5.doc
Yes
Yes
Paper Only
Instruction
datatable6.doc
Yes
Yes
Paper Only
Instruction
datatable7a.doc
Yes
Yes
Paper Only
Instruction
datatable8a.doc
Yes
Yes
Paper Only
Instruction
datatable9a.doc
Yes
Yes
Paper Only
Instruction
datatable10.doc
Yes
Yes
Paper Only
Instruction
datatable11.doc
Yes
Yes
Paper Only
Instruction
datatable12b.doc
Yes
Yes
Paper Only
Instruction
DataTableInstruct.doc
Yes
Yes
Paper Only
Instruction
DataTableIntro.doc
Yes
Yes
Paper Only
Instruction
datatables1-12.doc
Yes
Yes
Paper Only
Instruction
SampleTables.doc
Yes
Yes
Paper Only
Instruction
datatable1.doc
Yes
Yes
Paper Only
Form
1
fp1
rev.fp1.doc
Yes
Yes
Paper Only
Form
2
fp2
rev.fp2.doc
Yes
Yes
Paper Only
Form
3
fp3
rev.fp3.doc
Yes
Yes
Paper Only
Form
4
biosketch
rev.biosketch.doc
Yes
Yes
Paper Only
Form
4
datatable4
rev.datatable4.doc
Yes
Yes
Paper Only
Form
12a
datatable12a
rev.datatable12a.doc
Yes
Yes
Paper Only
Form
9
personnelreport
rev.personnelreport.doc
Yes
Yes
Paper Only
Form
11
resources
rev.resources.doc
Yes
Yes
Paper Only
Form
25
phs398
rev.phs398.doc
Yes
Yes
Paper Only
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:
11,815
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
66 %
Approved
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
11,815
0
0
0
0
11,815
Annual IC Time Burden (Hours)
413,525
0
0
0
0
413,525
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.