Information Collection

Notification of Impending Graduation

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notification of Impending Graduation	Agency IC Tracking Number:	856-13

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection 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 %

	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

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.