Information Collection

RP 2015-21 - Guidance regarding correction and disclosure procedures for hospital organizations

IC 215357 under ICR 201509-1545-023 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
draft RP 2015-21.docx Other-Revenue Procedure

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	RP 2015-21 - Guidance regarding correction and disclosure procedures for hospital organizations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection 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 %

	Approved	Previously Approved
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

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.