NHHCIA NCC Financial Performance Measures

The Health Center Program Application Forms

OMB: 0915-0285

IC ID: 258269

Information Collection (IC) Details

View Information Collection (IC)

NHHCIA NCC Financial Performance Measures
 
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 and Instruction 4a NHHCIA NCC Financial Performance Measures NHHCIA NCC Financial Performance Measures .docx Yes Yes Fillable Fileable

Health Health Care Services

 

6 0
   
Private Sector Not-for-profit institutions
 
   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 6 0 6 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy