Information Collection Request

Intermediate Provider Registry, WC Docket No. 13-39

ICR 202109-3060-013 · OMB 3060-1259 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
3060-1259_RCC_10.2021.docx Supporting Statement A Uploaded 2021-10-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234066 Intermediate Provider Registry, WC Docket No. 13-39 Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2024 36 Months From Approved 01/31/2022
100 0 168
100 0 168
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Intermediate Provider Registry, WC Docket No. 13-39

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 168 0 0 -68 0
Annual Time Burden (Hours) 100 168 0 0 -68 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No