Information Collection

Health Care and Other Facilities Project Status Update Form- Construction Related

IC 181197 under ICR 201306-0915-006 · OMB 0915-0309.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0309A Health Care and Other Facilities Project Status Update Form- Construction Related	Form
0309A Health Care and Other Facilities Project Status Update F Progress Report Form-0309.pdf	Form
hcofuserguide.pdf Health Care and Other Facilities User Guide	IC Document
Information Collected on PR.pdf Information Collected on PR	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0309A	Health Care and Other Facilities Project Status Update Form-Construction-related	Progress Report Form-0309.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	800	-1,124	1,924
Annual IC Time Burden (Hours)	400	-562	962
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Health Care and Other Facilities User Guide	hcofuserguide.pdf	08/10/2010
Information Collected on PR	Information Collected on PR.pdf	06/25/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.