Information Collection

Phs 416-7

IC 225309 under ICR 202408-0925-003 · OMB 0925-0002.

Documents and Forms

Document Name Document Type
Form 1 PHS 416-7 Form and Instruction
1 Form Attachment 13_phs416-7 form and instructions.docx Form and Instruction
1 Form Attachment 13_phs416-7 form and instructions.docx Form and Instruction
2 Form Attachment 19 - Post-Award eRA Commons Screen Shots_xTrain_07-2024.docx Form
2 Form Attachment 19 - Post-Award eRA Commons Screen Shots_xTrain_07-2024.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PHS 416-7	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 and Instruction	1	Form	Attachment 13_phs416-7 form and instructions.docx		Yes	Yes	Fillable Fileable
Form	2	Form	Attachment 19 - Post-Award eRA Commons Screen Shots_xTrain_07-2024.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,580	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	12,580	12,580
Annual IC Time Burden (Hours)	6,290	6,290
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.