Information Collection

Request for Approval under the "Generic Clearance for the Trusted Exchange Framework and Common Agreement (TEFCA) Monitoring Activities"

IC 279344 under ICR 202603-0955-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OMB Control Number Request for Approval under the “Generic Clearance for the Trusted Exchange Framework and Common Agreement (TEFCA) Monitoring Activities” Request for Approval under the "Generic Clearance for the Trusted Exchange Framework and Common Agreement (TEFCA) Monitoring Activities"	Form and Instruction
OMB Control Number Request for Approval under the “Generic Clearance for th 0930-NEW TEFCA Generic ICR Template 12.2.2025.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OMB Control Number: XXXX-YYYY				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,065	1,065
Annual IC Time Burden (Hours)	1,420	1,420
Annual IC Cost Burden (Dollars)	51,812	51,812

Documents for IC

table that charts IC Documents
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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