Information Collection

Foundational TA Assessment

IC 260190 under ICR 202507-0915-001 · OMB 0915-0391.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6 Foundational TA Assessment	Form and Instruction
Form 6 Foundational TA Assessment Foundational TA Assessment	Form and Instruction
Form 6 (Revised) Foundational TA Assessment Foundational TA Assessment	Form and Instruction
6 Foundational TA Assessment Form 6_Foundational TA Assessment.docx	Form and Instruction
6 Foundational TA Assessment Form 6_Foundational TA Assessment.docx	Form and Instruction
6 (Revised) Foundational TA Assessment Form 6_Foundational TA Assessment 07102025 RL.docx	Form and Instruction
6 (Revised) Foundational TA Assessment Form 6_Foundational TA Assessment 07102025 RL.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	6				Yes	Yes	Fillable Fileable
Form and Instruction	6 (Revised)				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 45

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	9	9
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.

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