Information Collection

National Health Service Corps - Uniform Data System

IC 6473 under ICR 200507-0915-005 · OMB 0915-0232.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	National Health Service Corps - Uniform Data System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	900	0	900
Annual IC Time Burden (Hours)	32,400	8,100	24,300
Annual IC Cost Burden (Dollars)	83,000	50,000	33,000

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.