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

View Information Collection (IC)

Health IT Modernization Program Awareness Survey 162
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 162 Yes Yes Fillable Fileable

Health Health Care Services

 

1,000 0
   
State, Local, and Tribal Governments
 
   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 1,000 0 1,000 0 0 0
Annual IC Time Burden (Hours) 83 0 83 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Health IT Template submission 06/05/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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