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Federal forms, ICRs, and supporting documents

Information Collection

Docket Case Monitoring Form

IC 231497 under ICR 201805-0990-002 · OMB 0990-0465.

Documents and Forms
Document Name
Document Type
Other-form
Information Collection (IC) Details

View Information Collection (IC)

Docket Case Monitoring Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-form Attachment E AOT Docket Monitoring Form_AOT Evaluation.docx Yes Yes Fillable Fileable

Health Health Care Services

 

6 0
   
Individuals or Households
 
   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 2,340 0 2,340 0 0 0
Annual IC Time Burden (Hours) 234 0 234 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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