Information Collection

Section 2712 - Rules regarding rescissions

IC 193321 under ICR 202506-0938-012 · OMB 0938-1094.

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Information Collection (IC) Details

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IC Title:	Section 2712 - Rules regarding rescissions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 45 CFR 147.128

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 37	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 38 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,285	-12,190	13,475
Annual IC Time Burden (Hours)	10	-235	245
Annual IC Cost Burden (Dollars)	411	-3,903	4,314

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