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Federal forms, ICRs, and supporting documents

Information Collection

Less than 500 Affected Individuals (investigating and documenting breach)affecting

IC 205902 under ICR 201302-0945-002 · OMB 0945-0001.

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Information Collection (IC) Details

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Less than 500 Affected Individuals (investigating and documenting breach)affecting <10 individuals
 
No New
 
Voluntary
 
45 CFR 160

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

Health Illness Prevention

 

17,810 0
   
Individuals or Households
 
   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 17,810 0 17,810 0 0 0
Annual IC Time Burden (Hours) 71,240 0 71,240 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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