OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

NHSC SP Authorization to Release Information

IC 211155 under ICR 202606-0915-003 · OMB 0915-0146.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1E
NHSC SP - Authorization to Release Information NHSC SP Authorization to Release Information		 Form and Instruction
Form 1E
NHSC SP - Authorization to Release Information NHSC SP Authorization to Release Information		 Form and Instruction
1E NHSC SP - Authorization to Release Information
0915 0146 - NHSC SP Auth to Release Form.pdf 		Form and Instruction
1E NHSC SP - Authorization to Release Information
0915 0146 - NHSC SP Auth to Release Form.pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 1E Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 3,100 0 0 0 0 3,100
Annual IC Time Burden (Hours) 310 0 0 0 0 310
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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