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Information Collection

Rural Health Care Services Outreach Program Measures

IC 215503 under ICR 202505-0906-004 · OMB 0906-0009.

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

View Information Collection (IC)

Rural Health Care Services Outreach Program Measures
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Rural Health Care Services Outreach Program.docx FORHP_0906_0009_Outreach Program Measures_Redline_04112025.docx Yes Yes Fillable Fileable

Health Health Care Services

 

61 61
   
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 61 0 0 0 0 61
Annual IC Time Burden (Hours) 488 0 0 0 0 488
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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