View Information Collection (IC)

View Information Collection (IC)

Indian Health Service Medical Staff Credentials and Privileges Files
No Unchanged
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0009-1 Application for Medical Staff Appointment and/or Privileges IHS_Medi1 PDF.pdf Yes No Fillable Printable

Health Public Health Monitoring

The Report of an Altered System of Records Medical Staff Credentials and Privileges Records   74 FR 173

570 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 570 0 0 0 0 570
Annual IC Time Burden (Hours) 570 0 0 0 0 570
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.