Information Collection Request

Nondiscrimination in Health Programs and Activities

ICR 202404-0945-002 · OMB 0945-0011 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
2024_05_07_Section 1557_Supporting Statement_Information Collection Requirements.docx Supporting Statement A Uploaded 2024-05-07 Repair queued
2024_05_02_Section 1557_Summary and discussion of comments on PRA.docx Supporting Statement B Uploaded 2024-05-02 Repair queued
2022_05_02_Section_ 1557_Information Collection Requirements_OMB Final Draft.docx Supplementary Document Uploaded 2022-08-16 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
255335 Notice Requirements Modified
255331 Documentation Requirements Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2027 36 Months From Approved
596,544 0 0
1,329,209 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Documentation Requirements
Notice Requirements

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 596,544 0 0 596,544 0 0
Annual Time Burden (Hours) 1,329,209 0 0 1,329,209 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No