Information Collection

Health Care and Other Facilities Project Status Update Form- Equipment Only

IC 181198 under ICR 201306-0915-006 · OMB 0915-0309.

Documents and Forms

Document Name Document Type
Form 0309B Health Care and Other Facilities Project Status Update Form- Equipment Only Form
0309B 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 Collection (IC) Details

View Information Collection (IC)

IC Title:	Health Care and Other Facilities Project Status Update Form- Equipment Only	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0309B	Health Care and Other Facilities Project Status Update Form-Equipment Only	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: 317	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	317	-921	1,238
Annual IC Time Burden (Hours)	159	-460	619
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Health Care and Other Facilities User Guide	hcofuserguide.pdf	08/10/2010

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