Information Collection

Examination and Treatment for Emergency Medical Conditions and Women in Labor, Information Collection Requirements Contained in BPD-393

IC 8245 under ICR 199605-0938-003 · OMB 0938-0667.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0667 can be found here:

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Examination and Treatment for Emergency Medical Conditions and Women in Labor, Information Collection Requirements Contained in BPD-393	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-142				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	8,818,577	8,818,577
Annual IC Cost Burden (Dollars)	166,618,135,000	166,618,135,000

Documents for IC

Title	Document	Date Uploaded

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