Information Collection

Rural Health Clinics: Amendments to Participation Requirements & Payment Provisions; & Establishments of a Quality Assessment & Performance Improvement Program & Supporting Regulations.....

IC 8564 under ICR 200003-0938-005 · OMB 0938-0792.

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Information Collection (IC) Details

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IC Title:

Rural Health Clinics: Amendments to Participation Requirements & Payment Provisions; & Establishments of a Quality Assessment & Performance Improvement Program & Supporting Regulations.....

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-0242				No	No

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,528

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,573	3,573
Annual IC Time Burden (Hours)	3,663	3,663
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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

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