OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Uniform Data System (inclusive of Universal and Grant Report)

IC 6420 under ICR 202606-0915-002 · OMB 0915-0193.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Uniform Data System (inclusive of Universal and Grant Report)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 UDS Tables - BPHC - UDS - 0915-0193 - Revision – 06.15.2026 (Clean Version) UDS Tables - BPHC - UDS - 0915-0193 - Revision – 06.15.2026 Clean.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,015 2,015
   
Private Sector Not-for-profit institutions
 
   100 %

  Requested 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 2,107 0 149 0 0 1,958
Annual IC Time Burden (Hours) 304,616 0 -72,701 0 0 377,317
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
UDS Tables - BPHC - UDS - 0915-0193 - Revision - 06.15.2026 (Redline Version) UDS Tables - BPHC - UDS - 0915-0193 - Revision – redline.pdf 06/16/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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