Information Collection

Priority of Service Data Collection - Covered Entrants

IC 186167 under ICR 200805-1205-001 · OMB 1205-0468.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Quarterly Report Fields 8 15 08.doc Other-Data Fields
Individual Record Data Elements 8 15 08.doc Other-Data Elements

Information Collection (IC) Details

View Information Collection (IC)

layout table

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-Data Fields Quarterly Report Fields 8 15 08.doc Yes Yes Fillable Fileable
Other-Data Elements Individual Record Data Elements 8 15 08.doc Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 1,586,815 1,586,815 0 0 0 0
Annual IC Time Burden (Hours) 92,564 92,564 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 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.