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Contractor Draws On Letter Of Credit And Monthly Contractor Financial Report
CONTRACTOR DRAWS ON LETTER OF CREDIT AND MONTHLY CONTRACTOR FINANCIAL REPORT
OMB: 0938-0361
IC ID: 113546
OMB.report
HHS/CMS
OMB 0938-0361
ICR 199303-0938-007
IC 113546
( )
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:
CONTRACTOR DRAWS ON LETTER OF CREDIT AND MONTHLY CONTRACTOR FINANCIAL REPORT
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-1522
No
No
Form
HCFA-1521
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
84
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
2,016
0
1,906
0
0
110
Annual IC Time Burden (Hours)
28,836
0
-204
0
0
29,040
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.