View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Health Care Providers and Suppliers
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey Yes Yes Fillable Fileable
Other-form No   Paper Only
Other-Survey No   Paper Only
Other-survey No   Paper Only
Other-survey Yes Yes Fillable Fileable
Other-survey Yes Yes Fillable Fileable

General Government Executive Functions

 

400 0
   
Individuals or Households
 
   0 %

  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 400 0 200 0 0 200
Annual IC Time Burden (Hours) 100 0 50 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Estimates of Respondents Burdens 03/15/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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