Information Collection

1-Year Post-TED

IC 237626 under ICR 202011-0915-003 · OMB 0915-0310.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0310 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6 1-Year Post-TED	Form
6 1 YEAR POST-TED 4-7-20 04.03.2020 Updated Clean OMB 0915-0310 F2450 R5 (03Apr2020).docx	Form
6 R 1 YEAR POST-TED REDLINE 4-7-20 04.03.2020 Updated Form 0310 F2450 REDLINE.docx	Form

IC Title:

1-Year Post-TED

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Form	6	1 YEAR POST-TED 4-7-20	04.03.2020 Updated Clean OMB 0915-0310 F2450 R5 (03Apr2020).docx		Yes	Yes	Fillable Fileable
Form	6 R	1 YEAR POST-TED REDLINE 4-7-20	04.03.2020 Updated Form 0310 F2450 REDLINE.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	5,200	5,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.