Health Center Controlled Networks Progress Reports

Health Center Controlled Networks Progress Reports

OMB: 0915-0360

IC ID: 205055

Information Collection (IC) Details

View Information Collection (IC)

Health Center Controlled Networks Progress Reports
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Work Plan FINALWork Plan Template 03.21.16.xls Yes Yes Fillable Fileable
Form and Instruction 2 Annual Progress Report Annual Progress Report Template Final.docx Yes Yes Fillable Fileable

Health Health Care Services

 

86 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 86 0 26 0 0 60
Annual IC Time Burden (Hours) 2,382 0 720 0 0 1,662
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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