View Information Collection (IC)

View Information Collection (IC)

HH Demo Fax and Electronic Submissions and Resubmissions (Illinois, Florida, Texas)
No New

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services


5,208 0
Private Sector Businesses or other for-profits, Not-for-profit institutions
   95 %

  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 2,387,221 2,387,221 0 0 0 0
Annual IC Time Burden (Hours) 1,193,611 1,193,611 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.