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Federal forms, ICRs, and supporting documents

Information Collection

42 CFR Parts 54 a

IC 192280 under ICR 202505-0930-004 · OMB 0930-0242.

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

View Information Collection (IC)

42 CFR Parts 54 a
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction No instruments.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

1,505 0
   
Private Sector 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 1,600 0 0 0 0 1,600
Annual IC Time Burden (Hours) 1,478 0 0 0 0 1,478
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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