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Pediatric Lung Priority 1 Status Justification Form

IC 276075 under ICR 202506-0915-004 · OMB 0915-0157.

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Information Collection (IC) Details

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Pediatric Lung Priority 1 Status Justification Form
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 147 Pediatric Lung Priority 1 Status Justification Form 147. Pediatric Lung Priority 1 Status Justification Form_Form.xlsx Yes Yes Fillable Fileable
Instruction 147. Pediatric Lung Priority 1 Status Form_Instructions.docx Yes Yes Fillable Fileable

Health Health Care Services

Privacy Act System of Records 09-15-0055  87 FR 46967

45 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 52 0 52 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
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.
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