Information Collection

Recordkeeping And Reporting Requirements For Limitations On Federal Participation For Capital Expenditures Under Sec. 1122 Of Social Security Act

IC 110172 under ICR 198306-0915-004 · OMB 0915-0057.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0057 can be found here:

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Information Collection (IC) Details

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IC Title:	RECORDKEEPING AND REPORTING REQUIREMENTS FOR LIMITATIONS ON FEDERAL PARTICIPATION FOR CAPITAL EXPENDITURES UNDER SEC. 1122 OF SOCIAL SECURITY ACT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	420	420
Annual IC Time Burden (Hours)	126	126
Annual IC Cost Burden (Dollars)	0	0

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