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Federal forms, ICRs, and supporting documents

Information Collection

Rural Health Network Development Planning Performance Improvement and Measurement System Database

IC 184013 under ICR 201406-0915-001 · OMB 0915-0319.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form
Information Collection (IC) Details

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Rural Health Network Development Planning Performance Improvement and Measurement System Database
 
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 and Instruction 5 Network Development Planning Network Planning PIMS Measures--FINAL.docx Yes Yes Fillable Fileable
Form 5 Rural Health Network Development Planning Performance Improvement and Measurement System Database 5 Network Planning PIMS Measures.DOCX Yes Yes Fillable Fileable

Health Health Care Services

 

21 21
   
Private Sector Not-for-profit institutions
 
   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 21 0 -9 0 0 30
Annual IC Time Burden (Hours) 63 0 33 0 0 30
Annual IC Cost Burden (Dollars) 0 0 0 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.