Information Collection Request
Children's Hospital Graduate Medical Education Program
ICR 202210-0915-007 · OMB 0915-0247 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0915-0247 can be found here:
Forms and Documents
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 256635 |  Exhibit E (Fiscal Intermediary Introductory Request Letter) |
Other-no form-provided by grantee | New | |
| 237997 | Exhibit 4 (FTE Resident Assessment) |
Other-no form-provided by grantee | Modified | |
| 237996 | Exhibit 3 (FTE Resident Assessment) |
Other-no form-provided by grantee | Modified | |
| 237995 | Exhibit 2 (FTE Resident Assessment) |
Other-no form-provided by grantee | Modified | |
| 237994 | Exhibit P(2) (FTE Resident Assessment) |
Other-no form-provided by grantee | Modified | |
| 237993 | Application Cover Letter (Reconciiation) |
Other-no form-provided by grantee | Removed | |
| 237991 | HRSA 99-2 (Reconcilliation) |
Form | Modified | |
| 224952 | HRSA 99-1 Supplemental (FTE Resident Assessment) |
Form | Modified | |
| 224950 | HRSA 99-1 (Reconcilliation) |
Form | Modified | |
| 211283 | Exhibit S (Resident FTE Assessment) |
Form | Modified | |
| 211282 | Exhibit P (Resident FTE Assessment) |
Form | Modified | |
| 211281 | Exhibit O(2) (Resident FTE Assessment) |
Form | Modified | |
| 211280 | Exhibit O(1) (Resident FTE Assessment) |
Form | Modified | |
| 211279 | Exhibit N (Resident FTE Assessment) |
Form | Modified | |
| 211278 | Exhibit C (Resident FTE Assessment) |
Form | Modified | |
| 211277 | Conversation Record (Resident FTE Assessment) |
Form | Modified | |
| 211276 | Exhibit 1 (Resident FTE Assessment) |
Other-no form-provided by grantee | Modified | |
| 211275 | Exhibit 2 (Initial and Reconciliation) |
Other-no form-provided by grantee | Modified | |
| 211274 | Exhibit 3 (Initial and Reconciliation) |
Other-no form-provided by grantee | Modified | |
| 211273 | Exhibit 4 (Initial and Reconciliation) |
Other-no form-provided by grantee | Modified | |
| 211272 | Exhibit F (Resident FTE Assessment) |
Other-no form-provided by grantee | Modified | |
| 211270 | Exhibit T (Resident FTE Assessment) |
Other-no form-provided by grantee | Modified | |
| 211269 | Exhibit T(1) (Resident FTE Assessment) |
Other-no form-provided by grantee | Modified | |
| 211268 | FTE Assessment Letter (Resident FTE Assessment) |
Other-no form-provided by grantee | Removed | |
| 211222 | CFO Cover Letter (Initial and Reconciliation) |
Other-no form-provided by grantee | Modified | |
| 211221 | Application Cover Letter (initial and reconciliation) |
Other-not provided by grantee | Modified | |
| 211220 | HRSA 99-5 (Initial and Reconciliation) |
Form | Modified | |
| 211219 | HRSA 99-4 (Reconciliation) |
Form | Modified | |
| 211217 | HRSA 99-2 (Initial) |
Form | Modified | |
| 211216 | HRSA 99-1 (Initial) |
Form | Modified | |
| 211215 | HRSA 99 (Initial and Reconcilation) |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/HSA |
| OMB Control No | 0915-0247 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201910-0915-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |