Information Collection

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

IC 110284 under ICR 198805-0915-002 · OMB 0915-0099.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0099 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	GRANTS FOR HOSPITAL CONSTRUCTION AND MODERNIZATION - FEDERAL RIGHT OF RECOVERY AND WAIVER OF RECOVERY (42 CFR 124, SUBPART H)	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	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.