Information Collection

Charitable Facility Compliance Alternative -- 42 Cfr 124, Subpart F

IC 110402 under ICR 199409-0915-001 · OMB 0915-0171.

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Information Collection (IC) Details

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IC Title:	CHARITABLE FACILITY COMPLIANCE ALTERNATIVE -- 42 CFR 124, SUBPART F	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150	149	1
Annual IC Time Burden (Hours)	900	899	1
Annual IC Cost Burden (Dollars)	0	0	0

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