OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Transmittal of Clinic Variables

IC 220448 under ICR 201702-0920-002 · OMB 0920-1133.

Documents and Forms
Document Name
Document Type
Other-Variable list
Information Collection (IC) Details

View Information Collection (IC)

Transmittal of Clinic Variables
 
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
Other-Variable list Att 4_ElectClinic data variables.docx Yes Yes Fillable Fileable

Health Health Care Services

 

46 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 184 0 0 0 0 184
Annual IC Time Burden (Hours) 184 0 0 0 0 184
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.