Information Collection

PHS Fellowship Supplemental Form (includes F reference letters)

IC 217563 under ICR 202408-0925-001 · OMB 0925-0001.

Documents and Forms

Document Name Document Type
Form 1 PHS Fellowship Supplemental Form (includes F reference letters) Form
Attachment 15_eRA Commons Profile Data Elements.xlsx Other-Data Elements
Attachment 15_eRA Commons Profile Data Elements.xlsx Other-Data Elements
1 Form Attachment 6A_PHS Fellowship Supplemental Form_Instructions_FORMS-I.docx Form
1 Form Attachment 6A_PHS Fellowship Supplemental Form_Instructions_FORMS-I.docx Form
2 Form Attachment 6B_PHS_Fellowship_Supplemental_8_0-V8.0_FORMS-I (2).pdf Form
2 Form Attachment 6B_PHS_Fellowship_Supplemental_8_0-V8.0_FORMS-I (2).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PHS Fellowship Supplemental Form (includes F reference letters)	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Form	Attachment 6A_PHS Fellowship Supplemental Form_Instructions_FORMS-I.docx	Yes	Yes	Fillable Fileable
Form	2	Form	Attachment 6B_PHS_Fellowship_Supplemental_8_0-V8.0_FORMS-I (2).pdf	Yes	Yes	Fillable Fileable
Other-Data Elements			Attachment 15_eRA Commons Profile Data Elements.xlsx	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,707	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,707	6,707
Annual IC Time Burden (Hours)	87,191	87,191
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.