OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Uniform Data System

IC 6420 under ICR 202009-0915-001 · OMB 0915-0193.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Uniform Data System
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 56 42 CFR 51c  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 UTC Tests - UDS Excel Tool UDS Excel Tool.xls Yes Yes Fillable Fileable
Form and Instruction 1 2020 UDS Tables REDLINE 2020UDSTables_redlined (002).docx Yes Yes Fillable Fileable
Instruction 2020UDSManual_redlined.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,134 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 2,134 0 0 0 0 2,134
Annual IC Time Burden (Hours) 397,644 0 0 0 0 397,644
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2020 Sept. Change Memo NSC Change Memo Sept 8 2020- OMB UDS 2020 forms_updated.docx 09/08/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.