Information Collection Request

HHSAR 311.7101(a) and 311.7202(b)

ICR 201511-0990-004 · OMB 0990-0434 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
0990-0434Supporting Justification Statement _1 for HHSAR 311 7101.docx Supporting Statement A Uploaded 2015-11-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
217361 HHSAR 311.71001(A) AND 311.7202(B) Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2018 36 Months From Approved
1,157 0 0
1,157 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
HHSAR 311.71001(A) AND 311.7202(B)

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,157 0 0 1,157 0 0
Annual Time Burden (Hours) 1,157 0 0 1,157 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No