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Federal forms, ICRs, and supporting documents

Information Collection

ANE Program Specific Form

IC 209293 under ICR 202403-0915-002 · OMB 0915-0375.

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

View Information Collection (IC)

ANE Program Specific Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 ANE Program Specific Data Forms.docx ANE Program Specific Data Form - Final Draft 03052024.docx Yes Yes Fillable Fileable

Health Health Care Services

 

348 0
   
Private Sector Businesses or other for-profits, 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 348 0 -173 0 0 521
Annual IC Time Burden (Hours) 2,436 0 -1,211 0 0 3,647
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.