Rural Health Network Development Planning Program Performance Improvement and Measurement System (PIMS) Form

Rural Health Network Development Planning Program Performance Improvement and Measurement System (PIMS)

OMB: 0915-0384

IC ID: 211181

Information Collection (IC) Details

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Rural Health Network Development Planning Program Performance Improvement and Measurement System (PIMS) Form
 
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 0195-0384_NP PIMS Form.docx 0195-0384_NP PIMS Form.docx Yes Yes Fillable Fileable

Health Health Care Services

 

21 21
   
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 21 0 0 0 0 21
Annual IC Time Burden (Hours) 21 0 0 0 0 21
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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