Information Collection

Information Collection Requirements in Final Peer Review Organizations Sanction Regulations 42 CFR Sections 1004.40, 1004.50, 1004.60, 1004.70

IC 8053 under ICR 201311-0938-009 · OMB 0938-0444.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0444 can be found here:

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Information Collection (IC) Details

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IC Title:	Information Collection Requirements in Final Peer Review Organizations Sanction Regulations 42 CFR Sections 1004.40, 1004.50, 1004.50, 1004.60, 1004.70	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 1004.40 42 CFR 1004.50 42 CFR 1004.60 42 CFR 1004.70

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: 53	Number of Respondents for Small Entity: 0

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

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	53	0	53
Annual IC Time Burden (Hours)	13,886	-424	14,310
Annual IC Cost Burden (Dollars)	0	0	0

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