Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
491.11 - Program Evaluation - Existing FHQCs Removed 0 0 0
491.11 - Program Evaluation - New FQHCs Removed 0 0 0
491.11 - Program Evaluation - New RHCs Removed 0 0 0
491.11 Program Evaluation - Existing RHCs Removed 0 0 0
491.9(b) - Patient Care Policies - Existing FQHCs Removed 0 0 0
491.9(b) Patient Care Policies - Existing RHCs Removed 0 0 0
491.9(b) Patient Care Policies - New FQHCs Removed 0 0 0
491.9(b) Patient Care Policies - New RHCs Removed 0 0 0
Biennial review of existing policies for every Medicare-certified clinic/center (§ 491.9(b)) Unchanged 17389 34778 0
Conduct biennial program evaluation (§ 491.11) Unchanged 17389 52167 0
Initial development of program evaluation (§ 491.11) Unchanged 1091 10910 0
Initial policy development for a new clinic or center (§ 491.9(b)) Unchanged 1091 10910 0
Permitting MFT and MHCs to Furnish Services in RHC/FQHCs (§ 491.9(b)) Unchanged 8695 4348 0
Total burden requested under this ICR: 45655 113113 0  
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