Information Collection

(Issuers) - Documentation and Data Requirements for NQTL Comparative Analyses

IC 270780 under ICR 202409-0938-011 · OMB 0938-1393.

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IC Title:	(Issuers) - Documentation and Data Requirements for NQTL Comparative Analyses	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 146.137 45 CFR 146.136

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	160,000	160,000
Annual IC Cost Burden (Dollars)	0	0

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