Information Collection

PRF Commercial Audit Form

IC 264088 under ICR 202505-0906-003 · OMB 0906-0083.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 PRF Commercial Audit Form	Form and Instruction
Form 1 PRF Commercial Audit Reporting Portal PRF Commercial Audit Form	Form and Instruction
1 PRF Commercial Audit Reporting Portal Commercial Audit Reporting Portal Screenshots - Final.docx	Form and Instruction
1 PRF Commercial Audit Reporting Portal Commercial Audit Reporting Portal Screenshots - Final.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

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
Form and Instruction	1				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	21,000	21,000
Annual IC Time Burden (Hours)	15,750	15,750
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].