PHS 398 Career Development Award Supplemental Form

PHS Applications and Pre-award Related Reporting (OD)

Documents and Forms

Document Name Document Type
Form 1 PHS 398 Career Development Award Supplemental Form Form
1 Form Attachment 5P_PHS 398 Career Deverlopment Award Supplemental Form_Instructions_FORMS-I.docx Form
2 Form Attachment 5Q_PHS398_CareerDevelopmentAwardSup_6_0-V6.0.pdf Form

Information Collection (IC) Details

IC Title:	PHS 398 Career Development Award Supplemental Form	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 5P_PHS 398 Career Deverlopment Award Supplemental Form_Instructions_FORMS-I.docx		Yes	Yes	Fillable Fileable
Form	2	Form	Attachment 5Q_PHS398_CareerDevelopmentAwardSup_6_0-V6.0.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,251	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,251	2,251
Annual IC Time Burden (Hours)	22,510	22,510
Annual IC Cost Burden (Dollars)	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.