Information Collection

?483.460(a)(4)(ii), (iii), and (iv) Education Requirements for Staff and Clients

IC 248122 under ICR 202106-0938-016 · OMB 0938-1402.

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Information Collection (IC) Details

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IC Title:	§483.460(a)(4)(ii), (iii), and (iv) Education Requirements for Staff and Clients	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 483.460(a)(4)(ii)(iii) (iv)

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: 5,772	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,772	5,772
Annual IC Time Burden (Hours)	48,100	48,100
Annual IC Cost Burden (Dollars)	0	0

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