Information Collection

Individual Notice--Substitute Notice (posting or publishing)

IC 190801 under ICR 200909-0990-005 · OMB 0990-0346.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0346 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Individual Notice--Substitute Notice (posting or publishing)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 45 CFR 160

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: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	34,090	34,090

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.