OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Extension Requests and Appeals

IC 239366 under ICR 202512-0925-004 · OMB 0925-0586.

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)

Extension Requests and Appeals
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Request for the Extension of the Results Information Submission Deadline Attachment 7 - Request for the Extension of the Results Information Submission Deadline - 2_11_2026.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

175 0
   
Private Sector Not-for-profit institutions
 
   0 %

  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 175 0 50 0 0 125
Annual IC Time Burden (Hours) 350 0 100 0 0 250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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