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Information Collection Requirements Contained In Berc-297-fc & Related Instructions Implementing The U.s. District Court's Decision In Lynch V. Rank
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-297-FC & RELATED INSTRUCTIONS IMPLEMENTING THE U.S. DISTRICT COURT'S DECISION IN LYNCH V. RANK
OMB: 0938-0377
IC ID: 113589
OMB.report
HHS/CMS
OMB 0938-0377
ICR 198702-0938-002
IC 113589
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN BERC-297-FC & RELATED INSTRUCTIONS IMPLEMENTING THE U.S. DISTRICT COURT'S DECISION IN LYNCH V. RANK
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
Form
HCFA-R-61
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,500
0
-14,682
18,182
0
0
Annual IC Time Burden (Hours)
19,250
0
-80,750
100,000
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.