Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Deemed Health Center Program Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment with Liability Protections Under the FTCA Modified 3468 6936 0 Form and Instruction 2
Application for Free Clinics to Sponsor Individuals for Deemed PHS Employment with Liability Protections Under the FTCA Modified 1122 2244 0 Form and Instruction 4
Application for Health Center Program Recipients for Deemed PHS Employment with Liability Protections Under the FTCA Modified 1160 2900 0 Form and Instruction 1
Emergency Deeming Sponsorship Application Unchanged 60 60 0 Form and Instruction 3
Total burden requested under this ICR: 5810 12140 0  
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