Information Collection

Application Cover Letter (initial and reconciliation)

IC 211221 under ICR 202509-0915-004 · OMB 0915-0247.

Documents and Forms

Document Name Document Type
Application Cover Letter (Initial and Recon) - Document.docx Other-no form - provided by grantee
Application Cover Letter (Initial and Recon) - Document.docx Other-no form - provided by grantee

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application Cover Letter (initial and reconciliation)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-no form - provided by grantee			Application Cover Letter (Initial and Recon) - Document.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Graduate Medical Education (GME) Full-Time Equivalent (FTE) Resident Assessment Records â 09-15-0070 (CLEARANCE IN PROCESS)	FR Citation: 1 FR 1

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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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