Information Collection

EHR Generic Clearance

IC 42677 under ICR 200703-3145-006 · OMB 3145-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0136 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Justification.doc	Other-Supporting Statement

IC Title:

EHR Generic Clearance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-Supporting Statement			Justification.doc		No		Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19,582

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	19,582	19,582
Annual IC Time Burden (Hours)	40,388	40,388
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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