Information Collection

Notification of Impending Graduation

IC 263141 under ICR 202310-0917-001 · OMB 0917-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form IHS-856-13 Notification of Impending Graduation	Form and Instruction
IHS-856-13 Notification of Impending Graduation Notice of Impending Graduation.pdf	Form and Instruction
IHS-856-13 Notice of Impending Graduation Notice of Impending Graduation_Final.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

856-13

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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
Form and Instruction	IHS-856-13	Notice of Impending Graduation	Notice of Impending Graduation_Final.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 170

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
Annual Number of Responses for this IC	170	170
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	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.