OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Notifications of Intent to Use a Voucher

IC 219016 under ICR 202501-0910-009 · OMB 0910-0822.

Documents and Forms
Document Name
Document Type
Other-Guidance
Information Collection (IC) Details

View Information Collection (IC)

Notifications of Intent to Use a Voucher CDER
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Guidance 0822_Guidance.docx Yes Yes Paper Only

Health Health Care Services

 

2 0
   
Private Sector Businesses or other for-profits
 
   90 %

  Requested 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 2 0 0 0 0 2
Annual IC Time Burden (Hours) 16 0 0 0 0 16
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.