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Application For Schools Of Medicine-special Requirements And Assurances Under Health Professions Capitation

IC 112080 under ICR 198006-0935-001 · OMB 0935-0014.

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APPLICATION FOR SCHOOLS OF MEDICINE-SPECIAL REQUIREMENTS AND ASSURANCES UNDER HEALTH PROFESSIONS CAPITATION
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HRA198 No No
Form HRA1981A No No
Form HRA1981B No No


    

3,620 0
   
Private Sector Businesses or other for-profits
 
   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 3,620 0 0 3,620 0 0
Annual IC Time Burden (Hours) 2,810 0 0 2,810 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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