Hrsa 99-1

Children's Hospital Graduate Medical Eduction Program

OMB: 0915-0247

IC ID: 211216

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

HRSA 99-1
 
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 1 HRSA 99-1 (Initial) HRSA 99-1 (Initial).xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

60 0
   
Private Sector Businesses or other for-profits, 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 60 0 -90 0 0 150
Annual IC Time Burden (Hours) 1,590 0 -500 0 0 2,090
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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