Information Collection

Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105

IC 8078 under ICR 202403-0938-001 · OMB 0938-0456.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IRIS XML FTE Calculations.pdf	Instruction
IRIS XML FTE Calculations.pdf	Instruction
IRIS XML General Instructions.pdf	Instruction
IRIS XML General Instructions.pdf	Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 412.105

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
Instruction			IRIS XML FTE Calculations.pdf		Yes	Yes	Fillable Printable
Instruction			IRIS XML General Instructions.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,245

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,245	1,245
Annual IC Time Burden (Hours)	2,490	2,490
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.