Uniform Data System

Uniform Data System

OMB: 0915-0193

IC ID: 6420

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

View Information Collection (IC)

Uniform Data System
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 56 42 CFR 51c  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 UDS Manual UDS Manual.doc Yes Yes Fillable Fileable
Form and Instruction 1 UDS Tables UDS_tables.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,302 0
   
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 1,302 0 15 0 0 1,287
Annual IC Time Burden (Hours) 232,318 0 120,880 0 0 111,438
Annual IC Cost Burden (Dollars) 257,796 0 2,970 0 0 254,826

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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