Information Collection

Conditions of Partcipation: Emergency Preparedness

IC 224134 under ICR 202602-0938-005 · OMB 0938-1325.

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Information Collection (IC) Details

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IC Title:	Conditions of Partcipation: Emergency Preparedness	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 403.747, 416.54, 418.80 42 CFR 483.68, 495.22, 485.68 42 CFR 485.625, 485.727, 485.920 42 CFR 491.12, 494.62 42 CFR 441.184, 460.84, 482.15 42 CFR 483.73, 482.78, 483.475

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 180,915	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 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	180,915	58,796	122,119
Annual IC Time Burden (Hours)	1,215,158	-45,316	1,260,474
Annual IC Cost Burden (Dollars)	0	0	0

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