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Contractors Information Collections - State Survey Agency Correction Of Deficiency Forms

IC 112627 under ICR 198112-0938-012 · OMB 0938-0044.

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Information Collection (IC) Details

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CONTRACTORS INFORMATION COLLECTIONS - STATE SURVEY AGENCY CORRECTION OF DEFICIENCY FORMS
 
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 HCFA-9034 No No
Form 2567B No No


    

17,500 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 17,500 0 0 0 0 17,500
Annual IC Time Burden (Hours) 26,250 0 0 25,130 0 1,120
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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