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Testing and Certification Results
ONC Temporary Certification Program's Application, Reporting and Records Requirements
OMB: 0955-0010
IC ID: 195440
OMB.report
HHS/ONC
OMB 0955-0010
ICR 201208-0955-010
IC 195440
( )
Documents and Forms
Document Name
Document Type
0990-ONC-ATCB_Application_PART ONE_FINAL_(Both Conformant and Partially Conformant Applicants).doc
Other-testing
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Testing and Certification Results
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-testing
0990-ONC-ATCB_Application_PART ONE_FINAL_(Both Conformant and Partially Conformant Applicants).doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
260
0
260
0
0
0
Annual IC Time Burden (Hours)
260
0
260
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.