Information Collection

Paperwork Burden Associated With The Hospital Survey And Request To Establish Eligibility

IC 112901 under ICR 198212-0938-007 · OMB 0938-0103.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

PAPERWORK BURDEN ASSOCIATED WITH THE HOSPITAL SURVEY AND REQUEST TO ESTABLISH ELIGIBILITY

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-1514				No	No
Form	HCFA-R11				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,026

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
	Requested	Previously Approved
Annual Number of Responses for this IC	1,026	1,026
Annual IC Time Burden (Hours)	23,598	23,598
Annual IC Cost Burden (Dollars)	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.

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