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Federal forms, ICRs, and supporting documents

Information Collection

Health Center Component Facility Interview (Survey year: 2024)

IC 220059 under ICR 202412-0920-002 · OMB 0920-0234.

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

View Information Collection (IC)

Health Center Component Facility Interview (Survey year: 2024) 0920-2034
 
Yes Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0234 2024 Health Center Component Facility Interview Attachment C1_2024 Health Center Facility Interview.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Human Resources Utilization 09-20-0167  49 FR 37697

84 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 84 0 -216 0 0 300
Annual IC Time Burden (Hours) 63 0 -162 0 0 225
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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