Information Collection

RP 2015-12 - Guidance regarding correction and disclosure procedures for hospital organizations

IC 215357 under ICR 201412-1545-007 · OMB 1545-0047.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-0047 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
draft RP 2015-21.docx	Other-Revenue Procedure

IC Title:

RP 2015-12 - Guidance regarding correction and disclosure procedures for hospital organizations

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Revenue Procedure			draft RP 2015-21.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,955

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,955	2,955
Annual IC Time Burden (Hours)	5,910	5,910
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.