OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Federal Tort Claims Act (FTCA) Program Deeming Applications for Health Centers

IC 230498 under ICR 202104-0906-002 · OMB 0906-0035.

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

View Information Collection (IC)

Federal Tort Claims Act (FTCA) Program Deeming Applications for Health Centers
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 0035 FTCA Health Center Application FORM 0035 FTCA Health Center Application with OMB Statement_03.11.21_FINAL.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,160 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 1,160 0 0 0 0 1,160
Annual IC Time Burden (Hours) 2,900 0 0 0 0 2,900
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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