Data Tables

PHS Applications and Pre-award Related Reporting (OD)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0001 can be found here:

Documents and Forms

Document Name Document Type
Form 10 Data Tables Form and Instruction
10 Introduction to the Data Tables Attachment 11A Introduction to the Data Tables_FORMS-G.docx Form and Instruction
10 Introduction to the Data Tables Attachment 11A Introduction to the Data Tables_FORMS-G.docx Form and Instruction
Attachment 11B Undergraduate Training Tables_FORMS-G.docx Attachment 11B Undergraduate Training Tables IC Document
Attachment 11B Undergraduate Training Tables_FORMS-G.docx Attachment 11B Undergraduate Training Tables IC Document
Attachment 11D International_Training_Tables_FORMS-G.docx Attachment 11D Consolidated International Training Tables IC Document
Attachment 11D International_Training_Tables_FORMS-G.docx Attachment 11D Consolidated International Training Tables IC Document
Attachment 11C Consolidated_Training_Tables_FORMS-G.docx Consolidated Training Tables IC Document
Attachment 11C Consolidated_Training_Tables_FORMS-G.docx Consolidated Training Tables IC Document

Information Collection (IC) Details

IC Title:	Data Tables	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 and Instruction	10	Introduction to the Data Tables	Attachment 11A Introduction to the Data Tables_FORMS-G.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,515	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,515	1,515
Annual IC Time Burden (Hours)	6,060	6,060
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 11B Undergraduate Training Tables	Attachment 11B Undergraduate Training Tables_FORMS-G.docx	08/09/2021
Attachment 11D Consolidated International Training Tables	Attachment 11D International_Training_Tables_FORMS-G.docx	08/09/2021
Consolidated Training Tables	Attachment 11C Consolidated_Training_Tables_FORMS-G.docx	08/09/2021

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