Information Collection

MIECHV Program Model Eligibility Review Survey (Private Sector)

IC 278463 under ICR 202512-0906-002 · OMB unassigned.

Documents and Forms

Document Name Document Type
Form 1 MIECHV Program Model Eligibility Review Survey (Private Sector) Form and Instruction
Form 1 Model Eligibility Survey MIECHV Program Model Eligibility Review Survey (Private Sector) Form and Instruction
1 Model Eligibility Survey Appendix C. Model Eligibility Review Survey.docx Form and Instruction
1 Model Eligibility Survey Appendix C. Model Eligibility Review Survey.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MIECHV Program Model Eligibility Review Survey (Private Sector)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Model Eligibility Survey	Appendix C. Model Eligibility Review Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	66	66
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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