Information Collection

Psychiatric and Rehabilitation Hospitals

IC 251021 under ICR 202207-0990-007 · OMB 0990-0478.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0478 U.S. Healthcare COVID-19 Portal _ New Entry - 29Nov21.pdf	Other-
0990-0478 U.S. Healthcare COVID-19 Portal _ New Entry - 29Nov21.pdf	Other-
New-Entry-Guidance Updates_Final.pdf	Other-
New-Entry-Guidance Updates_Final.pdf	Other-

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Other-					Yes	Yes	Fillable Fileable
Other-					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 870

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	870	-40,730	41,600
Annual IC Time Burden (Hours)	957	-51,043	52,000
Annual IC Cost Burden (Dollars)	0	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.

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