42 CFR 124, SUBPART H, GRANTS FOR HOSPITAL CONSTRUCTION AND MODERNIZATION FEDERAL RIGHT OF RECOVERY AND WAIVER OF RECOVERY

ICR 198605-0915-003

OMB: 0915-0099

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0915-0099 198605-0915-003
Historical Active 198503-0915-002
HHS/HSA
42 CFR 124, SUBPART H, GRANTS FOR HOSPITAL CONSTRUCTION AND MODERNIZATION FEDERAL RIGHT OF RECOVERY AND WAIVER OF RECOVERY
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/05/1986
Approved with change 05/05/1986
Retrieve Notice of Action (NOA) 05/05/1986
  Inventory as of this Action Requested Previously Approved
12/31/1987 12/31/1987 12/31/1987
1 0 1
40 0 1
0 0 0

PROVIDES A MEANS FOR THE FEDERAL GOVERNMENT TO RECOVER GRANT FUNDS WHE GRANT-ASSISTED HOSPITAL IS SOLD OR LEASED, OR THERE IS A CHANGE OF USE OF THE FACILITY, A METHOD OF CALCULATING INTEREST AND A WAIVER OF THE RIGHT OF RECOVERY UNDER CERTAIN CIRCUMSTANCES.

None
None


No

1
IC Title Form No. Form Name
42 CFR 124, SUBPART H, GRANTS FOR HOSPITAL CONSTRUCTION AND MODERNIZATION FEDERAL RIGHT OF RECOVERY AND WAIVER OF RECOVERY

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1 1 0 0 0 0
Annual Time Burden (Hours) 40 1 0 39 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/05/1986


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