Uncompensated Services Assurance Report

Uncompensated Services Assurance Report

OMB: 0915-0077

IC ID: 6347

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Uncompensated Services Assurance Report
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HRSA-710 No No


    

621 0
   
Private Sector Businesses or other for-profits
 
   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 155,080 0 0 -189,159 0 344,239
Annual IC Time Burden (Hours) 152,498 0 0 -384,580 0 537,078
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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