Attestation Requirement

Process for Obtaining Waivers of the Annual Limits Requirements of PHS Act Section 2711

OMB: 0938-1105

IC ID: 195564

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Attestation Requirement
 
No New
 
Required to Obtain or Retain Benefits
 
45 CFR 147.126

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

73 0
   
Private Sector Businesses or other for-profits, 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 73 0 73 0 0 0
Annual IC Time Burden (Hours) 110 0 110 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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