Documentation Requirements

Nondiscrimination in Health Programs and Activities

OMB: 0945-0011

IC ID: 255331

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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Documentation Requirements
 
No New
 
Required to Obtain or Retain Benefits
 
45 CFR 86 45 CFR 85 45 CFR 84

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

41,250 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   95 %

  Requested 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 41,250 0 41,250 0 0 0
Annual IC Time Burden (Hours) 412,500 0 412,500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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