OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Participant Financial

IC 242941 under ICR 202305-0938-016 · OMB 0938-1388.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Participant Financial
 
No Modified
 
Voluntary
 
42 CFR 1866F  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction PRA_OUD Financial Report Guide-v3-CLEAN.pdf Yes No Printable Only
Form and Instruction CMS-10728 Financial Report PRA-OUD Demo-Financial Report-v3-CLEAN.xlsx Yes Yes Fillable Printable

Health Health Care Services

Master Demonstration, Evaluation, and Research Studies for the Office of Research Development and Information (DERS)  83 FR 6591

47 0
   
Private Sector 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 47 0 0 -53 0 100
Annual IC Time Burden (Hours) 24 0 0 -76 0 100
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.