Information Collection

Health Professions Accessions Forms

IC 107878 under ICR 198911-0701-001 · OMB 0701-0078.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0701-0078 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	HEALTH PROFESSIONS ACCESSIONS FORMS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1402 & 1437				No	No
Form	ATC 1322				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,552	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,552	552	3,000
Annual IC Time Burden (Hours)	10,656	1,656	9,000
Annual IC Cost Burden (Dollars)	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.