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Health Systems Agency Application Guidelines For Designation And Grant And Related Reporting Requirements

IC 112137 under ICR 198310-0935-001 · OMB 0935-0071.

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HEALTH SYSTEMS AGENCY APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AND RELATED REPORTING REQUIREMENTS
 
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 PHS-5161 No No
Form HRA-217 No No
Form HRA-2172 No No


    

131 0
   
State, Local, and Tribal Governments
 
   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 131 0 131 0 0 0
Annual IC Time Burden (Hours) 6,550 0 6,550 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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