Information Collection

Conditions for Coverage for Rural Health Clinics -- (Existing RHC Physician/Admin)

IC 45407 under ICR 201309-0938-024 · OMB 0938-0334.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0334 can be found here:

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Information Collection (IC) Details

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IC Title:	Conditions for Coverage for Rural Health Clinics -- (Existing RHC Physician/Admin)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 491.9-491.11

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,991	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,991	253	3,738
Annual IC Time Burden (Hours)	7,982	506	7,476
Annual IC Cost Burden (Dollars)	0	0	0

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