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Federal forms, ICRs, and supporting documents

Information Collection

Y2KH-Health Check

IC 41231 under ICR 200002-1550-002 · OMB 1550-0101.

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Information Collection (IC) Details

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Y2KH-Health Check
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form OTS-FORM-1679 No No


    

1,138 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 5,690 0 0 0 0 5,690
Annual IC Time Burden (Hours) 3,414 0 0 0 0 3,414
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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