Information Collection

Health Care and Other Facilities Project Status Update Form- Construction Related

IC 181197 under ICR 201008-0915-002 · OMB 0915-0309.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0309 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0309A Health Care and Other Facilities Project Status Update Form- Construction Related	Form
0309A Health Care and Other Facilities Project Status Update F Progress Report Form-0309.pdf	Form
hcofuserguide.pdf Health Care and Other Facilities User Guide	IC Document
Public burden statement screenshot.doc HCOF Public burden statement	IC Document

IC Title:

Health Care and Other Facilities Project Status Update Form- Construction Related

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0309A	Health Care and Other Facilities Project Status Update Form-Construction-related	Progress Report Form-0309.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 481

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,924	344	1,580
Annual IC Time Burden (Hours)	962	172	790
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Health Care and Other Facilities User Guide	hcofuserguide.pdf	08/10/2010
HCOF Public burden statement	Public burden statement screenshot.doc	08/12/2010

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