Information Collection

Information Technology Professionals in Health Care

IC 191576 under ICR 200912-0990-001 · OMB 0990-0353.

Documents and Forms

Document Name Document Type
Form 1 Information Technology Professionals in Health Care Form and Instruction
1 Application Form ONC 3016 PRA Application for Competency Examination FOA v3 -IC.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Information Technology Professionals in Health Care	Agency IC Tracking Number:

Is this a Common Form?		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Application Form	ONC 3016 PRA Application for Competency Examination FOA v3 -IC.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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