The Health Center Program Application Forms

The Health Center Program Application Forms

OMB: 0915-0285

IC ID: 193520

Information Collection (IC) Details

View Information Collection (IC)

The Health Center Program Application Forms
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0285-Business Plan-SAC NAP Business Plan- SAC NAP Business Plan_SAC_NAP.doc Yes Yes Fillable Fileable

Health Health Care Services

 

800 0
   
Private Sector Not-for-profit institutions
 
   0 %

  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 800 0 800 0 0 0
Annual IC Time Burden (Hours) 3,200 0 3,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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