Information Collection

Peer Review Organization Contracts: Solicitation Of Statements Of Interest From In-state Organizations, General Notice

IC 113924 under ICR 198804-0938-005 · OMB 0938-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0526 can be found here:

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Information Collection (IC) Details

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IC Title:	PEER REVIEW ORGANIZATION CONTRACTS: SOLICITATION OF STATEMENTS OF INTEREST FROM IN-STATE ORGANIZATIONS, GENERAL NOTICE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

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-118				No	No

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: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

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

Documents for IC

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