Information disclosure for sterilization consent forms

42 C.F.R. Subpart B: Sterilization of Persons in Federally Assisted Family Planning Projects

OMB: 0937-0166

IC ID: 7740

Documents and Forms
Document Name
Document Type
Other-disclosure consent form
Information Collection (IC) Details

View Information Collection (IC)

Information disclosure for sterilization consent forms
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 50.Sub Part B

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-disclosure consent form 0937-0166 disclosuresterilization consent form OMB 11 2009 approval.doc No   Fillable Printable

Health Public Health Monitoring

 

100,000 0
   
Individuals or Households
 
   0 %

  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 100,000 0 0 0 0 100,000
Annual IC Time Burden (Hours) 100,000 0 0 0 0 100,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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