Information Collection

National Health Service Corps - Uniform Data System

IC 6473 under ICR 200810-0915-002 · OMB 0915-0232.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0232 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHSCUDS-2 National Health Service Corps - Uniform Data System	Form and Instruction
NHSCUDS-2 National Health Service Corps UDS ManualCY07.pdf nhsc.bhpr.hrsa.gov/resources/uds/index.asp	Form and Instruction

IC Title:

National Health Service Corps - Uniform Data System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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 and Instruction	NHSCUDS-2	National Health Service Corps UDS	ManualCY07.pdf	http://nhsc.bhpr.hrsa.gov/resources/uds/index.asp	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,200	300	900
Annual IC Time Burden (Hours)	32,400	0	32,400
Annual IC Cost Burden (Dollars)	105,000	22,000	83,000

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.