View Information Collection (IC)

View Information Collection (IC)

IC Title:	PHS Fellowship Supplemental Form (electronic)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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 and Instruction	6A	Completing PHS Fellowship Specific Components	Attachment 6A PHS 398 Fellowship Supplemental Form Instructions.doc		Yes	Yes	Fillable Fileable
Form and Instruction	6B	PHS Fellowship Supplemental Form	Attachment 6B PHS 398 Fellowship Supplemental Form.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	New	Fellowship Biosketch format form	0925-0001 applicant-fellowbiosketch format.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: 4,915	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	4,915	0	0	0	0	4,915
Annual IC Time Burden (Hours)	78,640	0	0	0	0	78,640
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.