Hill-burton Community Service Assurance Report Triennial Iv

HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT TRIENNIAL IV

OMB: 0990-0096

IC ID: 116598

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HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT TRIENNIAL IV
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form (TRIENNIAL No No
Form II) No No
Form OS/OCR-541 No No


    

6,300 0
   
State, Local, and Tribal Governments
 
   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 2,100 0 0 0 0 2,100
Annual IC Time Burden (Hours) 110,250 0 0 0 0 110,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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