COVID-19 Provider Relief Fund (PRF) Reporting Activities

COVID-19 Provider Relief Fund (PRF) Reporting Activities

OMB: 0906-0068

IC ID: 250697

Information Collection (IC) Details

View Information Collection (IC)

COVID-19 Provider Relief Fund (PRF) Reporting Activities
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Data Form Elements PRF Reporting Activities - 4 Data Form Elements.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

308,029 192,020
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 308,029 0 308,029 0 0 0
Annual IC Time Burden (Hours) 1,556,212 0 1,556,212 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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