OCR Pre-granted Automation Project

OCR Pre-granted Automation Project

OMB: 0990-0243

IC ID: 10370

Information Collection (IC) Details

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OCR Pre-granted Automation Project
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 80

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 0990-0243-Civil Rights Infomation Request Form RevDS8-9-10[2] 0990-0243-Civil Rights Infomation Request Form RevDS8-9-10[2].doc Yes Yes Fillable Fileable

Health Health Care Services

 

2,900 0
   
Private Sector Businesses or other for-profits
 
   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 2,900 0 2,900 0 0 0
Annual IC Time Burden (Hours) 23,200 0 23,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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