Information Collection

HPP Weekly Update Survey

IC 234994 under ICR 201807-0990-004 · OMB 0990-0391.

Documents and Forms

Document Name Document Type
For PRA Approval - HPP Weekly Update Survey Questions_1.7.2019_v1.DOCX Other-Survey and Instructions
For PRA Approval - HPP Weekly Survey Justification_1.7.2019_v1 (002).DOC HPP Weekly Update Survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HPP Weekly Update Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey and Instructions			For PRA Approval - HPP Weekly Update Survey Questions_1.7.2019_v1.DOCX		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 540	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	540	540
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
HPP Weekly Update Survey	For PRA Approval - HPP Weekly Survey Justification_1.7.2019_v1 (002).DOC	02/19/2019

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