Children's Hospital Graduate Medical Eduction Payment Program

Children's Hospital Graduate Medical Eduction Program

OMB: 0915-0247

IC ID: 6495

Information Collection (IC) Details

View Information Collection (IC)

Children's Hospital Graduate Medical Eduction Payment Program
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction HRSA_CHGME_99 HRSA_CHGME_99 HRSA_CHGME_99_0915-0247.pdf http://bhpr.hrsa.gov/childrenshospitalgme/apply.htm Yes Yes Fillable Fileable
Form and Instruction HRSA_CHGME_99-1-2 HRSA_CHGME_99-1-2 hrsa99_1_2.xls http://bhpr.hrsa.gov/childrenshospitalgme/apply.htm Yes Yes Fillable Fileable
Form and Instruction HRSA_CHGME_99-3 HRSA_CHGME_99-3 HRSA_CHGME_99-3_0915-0247.pdf http://bhpr.hrsa.gov/childrenshospitalgme/apply.htm Yes Yes Fillable Fileable
Form and Instruction HRSA_CHGME_99-5 HRSA_CHGME_99-5 HRSA_CHGME_99-5_0915-0247.pdf http://bhpr.hrsa.gov/childrenshospitalgme/apply.htm Yes Yes Fillable Fileable
Form and Instruction HRSA_CHGME_99-4 HRSA_CHGME_99-4 HRSA 99-4.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

60 0
   
Private Sector Not-for-profit institutions
 
   100 %

  Approved 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 60 0 0 0 0 60
Annual IC Time Burden (Hours) 3,500 0 0 -640 0 4,140
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Application Guidance, Instructions and Forms FY2010 OMB CHGME Guidance and Applications.pdf 02/16/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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