Information Collection

42 Cfr 124, Subpart H, Grants For Hospital Construction And Modernization Federal Right Of Recovery And Waiver Of Recovery

IC 165573 under ICR 198605-0915-003 · OMB 0915-0099.

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IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

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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: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

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	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	40	39	1
Annual IC Cost Burden (Dollars)	0	0	0

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