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Fire Safety Survey Report Forms and Supporting Regulations in 42 CFR 488.26 and 442.30
Fire Safety Survey Report Forms and Supporting Regulations in 42 CFR 488.26 and 442.30
OMB: 0938-0242
IC ID: 7898
OMB.report
HHS/CMS
OMB 0938-0242
ICR 200401-0938-010
IC 7898
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0242 can be found here:
2009-04-02 - Revision of a currently approved collection
2007-03-20 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Fire Safety Survey Report Forms and Supporting Regulations in 42 CFR 488.26 and 442.30
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
Form
2786U
No
No
Form
CMS-2786M
No
No
Form
2786V
No
No
Form
2786Y
No
No
Form
2786T
No
No
Form
2786W
No
No
Form
2786R
No
No
Form
2786S
No
No
Form
2786X
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
27,900
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
27,900
0
0
0
0
27,900
Annual IC Time Burden (Hours)
2,325
0
0
0
0
2,325
Annual IC Cost Burden (Dollars)
0
0
0
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.