Federal Tort Claims Act (FTCA) Program Deeming Applications for Health Centers

Federal Tort Claims Act (FTCA) Program Deeming Applications for Health Centers (Deeming)

OMB: 0906-0035

IC ID: 230498

Information Collection (IC) Details

View Information Collection (IC)

Federal Tort Claims Act (FTCA) Program Deeming Applications for Health Centers
 
No New
 
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 FTCA Health Center Deeming.Redeeming Application FTCA Health Center Deeming.Redeeming Application 01.30.18.pdf Yes Yes Fillable Fileable
Form and Instruction 2 FTCA Health Center Initial Application FTCA Health Center Initial Application 01.30.18.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

1,160 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 1,160 0 1,160 0 0 0
Annual IC Time Burden (Hours) 2,900 0 2,900 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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