Information Collection

Psro Grant Application And Instructions

IC 112834 under ICR 198204-0938-016 · OMB 0938-0087.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

PSRO GRANT APPLICATION AND INSTRUCTIONS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HCFA-95-98,	No	No
Form	103-109,	No	No
Form	& 174	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 146

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	146	-49	195
Annual IC Time Burden (Hours)	21,900	-16,100	38,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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