HRSA Client-Level Data Reporting System: Client Report

HRSA HAB Client-Level Data Reporting System

OMB: 0915-0323

IC ID: 187336

Information Collection (IC) Details

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HRSA Client-Level Data Reporting System: Client Report
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 HRSA Client-Level Data Reporting System: Client Report 1 RSR Client Level Data Elements.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,312 0
   
State, Local, and Tribal Governments
 
   100 %

  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 1,312 0 -510 0 0 1,822
Annual IC Time Burden (Hours) 87,904 0 81,071 0 0 6,833
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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