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Federal forms, ICRs, and supporting documents

Information Collection

Eligible Resident/Fellow FTE Chart and Instructions

IC 256297 under ICR 202509-0915-001 · OMB 0915-0367.

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

View Information Collection (IC)

Eligible Resident/Fellow FTE Chart and Instructions
 
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 and Instruction 1 Form and Instructions for THCGME FTE Chart Form and Instructions for THCGME FTE Chart 09032025.docx Yes Yes Fillable Fileable

Health Health Care Services

 

90 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 90 0 0 0 0 90
Annual IC Time Burden (Hours) 113 0 0 0 0 113
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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