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

View Information Collection (IC)

PHS 2590
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Yes Yes Fillable Fileable
Instruction Yes Yes Printable Only
Form 2 Yes Yes Fillable Fileable
Form 3 Yes Yes Fillable Fileable
Form 4 Yes Yes Fillable Fileable
Form 5 Yes Yes Fillable Fileable
Form 6 Yes Yes Fillable Fileable
Form 7 Yes Yes Fillable Fileable
Form 8 Yes Yes Fillable Fileable
Form 9 Yes Yes Fillable Fileable
Form 10 Yes Yes Fillable Fileable
Form 11 Yes Yes Fillable Fileable
Form 12 Yes Yes Fillable Fileable
Form 13 Yes Yes Fillable Fileable

Health Health Care Services

 

243 0
   
Private Sector Not-for-profit institutions
 
   100 %

  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 243 0 0 0 0 243
Annual IC Time Burden (Hours) 4,374 0 0 0 0 4,374
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.