Physician

OS Think Cultural Health

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0407 can be found here:

Documents and Forms

Document Name Document Type
0990-TCH Registration Questions (Attachment B).pdf Other-form
0990-TCH Registration Questions.BMP Other-form

Information Collection (IC) Details

IC Title:	Physician	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-form			0990-TCH Registration Questions (Attachment B).pdf		Yes	Yes	Fillable Printable
Other-form			0990-TCH Registration Questions.BMP		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: The Think Cultural Health Web Site Program	FR Citation: 77 FR 68123

Number of Respondents: 27,477	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27,477	27,477
Annual IC Time Burden (Hours)	1,374	1,374
Annual IC Cost Burden (Dollars)	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.