Information Collection

Conditions of Partcipation: Emergency Preparedness

IC 224134 under ICR 202001-0938-006 · OMB 0938-1325.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1325 can be found here:

2026-02-09 - Reinstatement with change of a previously approved collection

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Information Collection (IC) Details

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IC Title:

Conditions of Partcipation: Emergency Preparedness

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 403.747, 416.54, 418.80 42 CFR 483.68, 495.22, 485.68 42 CFR 485.625, 485.727, 485.920 42 CFR 491.12, 494.62 42 CFR 441.184, 460.84, 482.15 42 CFR 483.73, 482.78, 483.475

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 69,819

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	122,119	-94,777	216,896
Annual IC Time Burden (Hours)	1,260,474	-1,829,031	3,089,505
Annual IC Cost Burden (Dollars)	0	0	0

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