Information Collection

HHS Payment Management System Forms

IC 7748 under ICR 199611-0937-001 · OMB 0937-0200.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0937-0200 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	HHS Payment Management System Forms	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	PMS-270(SF-270)				Yes	Yes
Form	PMS-272(SF-272)				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,075	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	44,500	8,684	35,816
Annual IC Time Burden (Hours)	176,875	24,655	152,220
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.