Information Collection

Health Care and Other Facilities Project Status Update Form- Equipment Only

IC 181198 under ICR 200707-0915-003 · OMB 0915-0309.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0309 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Project Status Upd Health Care and Other Facilities Project Status Update Form- Equipment Only	Form
Project Status Upd Project Status Update Form HCOF Monitoring Form Rev DFCR June 1 2007.xls	Form
HCOF Construction and Equipment Monitoring Form Instructions Rev DFCR May 30, 2007.doc Instructions	IC Document

IC Title:

Health Care and Other Facilities Project Status Update Form- Equipment Only

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Form	Project Status Update Form	Project Status Update Form	HCOF Monitoring Form Rev DFCR June 1 2007.xls		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 523

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	523	523
Annual IC Time Burden (Hours)	262	262
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Instructions	HCOF Construction and Equipment Monitoring Form Instructions Rev DFCR May 30, 2007.doc	07/02/2007

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