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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Private Sector Requirements and Burden
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
42 CFR 457.1260
42 CFR 457.1270
42 CFR 457.1285
42 CFR 457.1205
42 CFR 457.1222
42 CFR 457.1230
42 CFR 457.1233
42 CFR 457.1240
42 CFR 457.1250
42 CFR 457.760
42 CFR 457.1201
42 CFR 457.1206
42 CFR 457.1207
42 CFR 457.1208
42 CFR 457.1210
42 CFR 457.1214
42 CFR 457.1224
42 CFR 457.1216
42 CFR 457.1218
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
261
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
80 %
Requested
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
2,362,705
0
3,956
0
0
2,358,749
Annual IC Time Burden (Hours)
518,901
0
179,970
0
0
338,931
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.