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⚠️ Notice: This information collection may be referencing outdated material.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:

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

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 %

	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

Documents for IC

Title	Document	Date Uploaded
No associated records found

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