PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Application Cover Letter (Reconciiation)
Removed
0
0
0
Other-no form-provided by grantee
Application Cover Letter (initial and reconciliation)
Modified
120
40
0
Other-not provided by grantee
CFO Cover Letter (Initial and Reconciliation)
Modified
120
40
0
Other-no form-provided by grantee
Conversation Record (Resident FTE Assessment)
Modified
60
220
0
Form
CR
Conversation Record (FTE Resident Assessment)
Exhibit 1 (Resident FTE Assessment)
Modified
60
20
0
Other-no form-provided by grantee
Exhibit 2 (FTE Resident Assessment)
Modified
60
20
0
Other-no form-provided by grantee
Exhibit 2 (Initial and Reconciliation)
Modified
120
40
0
Other-no form-provided by grantee
Exhibit 3 (FTE Resident Assessment)
Modified
60
20
0
Other-no form-provided by grantee
Exhibit 3 (Initial and Reconciliation)
Modified
120
40
0
Other-no form-provided by grantee
Exhibit 4 (FTE Resident Assessment)
Modified
60
20
0
Other-no form-provided by grantee
Exhibit 4 (Initial and Reconciliation)
Modified
120
40
0
Other-no form-provided by grantee
Exhibit C (Resident FTE Assessment)
Modified
120
440
0
Form
C
Exhibit C (FTE Resident Assessment)
Exhibit E (Fiscal Intermediary Introductory Request Letter)
New
120
440
0
Other-no form-provided by grantee
Exhibit F (Resident FTE Assessment)
Modified
120
440
0
Other-no form-provided by grantee
Exhibit N (Resident FTE Assessment)
Modified
120
440
0
Form
N
Exhibit N (FTE Resident Assessment)
Exhibit O(1) (Resident FTE Assessment)
Modified
120
440
0
Form
O(1)
Exhibit O(1) (FTE Resident Assessment)
Exhibit O(2) (Resident FTE Assessment)
Modified
60
1590
0
Form
O2
Exhibit O(2) (FTE Resident Assessment)
Exhibit P (Resident FTE Assessment)
Modified
120
440
0
Form
P
Exhibit P (FTE Resident Assessment)
Exhibit P(2) (FTE Resident Assessment)
Modified
120
440
0
Other-no form-provided by grantee
Exhibit S (Resident FTE Assessment)
Modified
120
440
0
Form
S
Exhibit S (FTE Resident Assessment)
Exhibit T (Resident FTE Assessment)
Modified
60
220
0
Other-no form-provided by grantee
Exhibit T(1) (Resident FTE Assessment)
Modified
60
220
0
Other-no form-provided by grantee
FTE Assessment Letter (Resident FTE Assessment)
Removed
0
0
0
Other-no form-provided by grantee
HRSA 99 (Initial and Reconcilation)
Modified
120
40
0
Form
99 I and R
HRSA 99 (Initial and Reconciliation)
HRSA 99-1 (Initial)
Modified
60
1590
0
Form
99-1
HRSA 99-1 (Initial)
HRSA 99-1 (Reconcilliation)
Modified
60
390
0
Form
99-1 R
HRSA 99-1 (Reconciliation)
HRSA 99-1 Supplemental (FTE Resident Assessment)
Modified
60
220
0
Form
99-1 S
HRSA 99-1 (Supplemental FTE Resident Assessment)
HRSA 99-2 (Initial)
Modified
60
580
0
Form
99-2 I
HRSA 99-2 (Initial)
HRSA 99-2 (Reconcilliation)
Modified
60
220
0
Form
99-2 R
HRSA 99-2 (Reconciliation)
HRSA 99-4 (Reconciliation)
Modified
60
750
0
Form
99-4 R
HRSA 99-4 (Reconciliation)
HRSA 99-5 (Initial and Reconciliation)
Modified
120
40
0
Form
99-5 I & R
HRSA 99-5 (Initial and Reconciliation)
Total burden requested under this ICR:
2640
9880
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
