Conditions for Coverage for Rural Health Clinics -- (Existing RHC Physician/Admin)

Conditions for Coverage for Rural Health Clinics -- 42 CFR Section 491.9 and 491.10

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Documents and Forms

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Information Collection (IC) Details

IC Title:	Conditions for Coverage for Rural Health Clinics -- (Existing RHC Physician/Admin)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 491.9-491.11

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,738	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,738	385	3,353
Annual IC Time Burden (Hours)	7,476	770	6,706
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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