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Federal forms, ICRs, and supporting documents

Information Collection Request

Indian Health Service Medical Staff Credentials and Privileges Files

ICR 200306-0917-001 · OMB 0917-0009 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6568 Indian Health Service Medical Staff Credentials and Privileges Files Migrated
ICR Details
0917-0009 200306-0917-001
Historical Active 200211-0917-002
HHS/IHS
Indian Health Service Medical Staff Credentials and Privileges Files
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 08/06/2003
Retrieve Notice of Action (NOA) 06/16/2003
  Inventory as of this Action Requested Previously Approved
08/31/2006 08/31/2006
3,709 0 0
2,371 0 0
0 0 0
Information is needed and used by the Indian Health Service Medical Staff to meet JCAHO accreditation requirements and to review, evaluate and verify the credentials, training, and experience of applicants applying for medical staff privileges at IHS health care facilities.
None
None
No
1
IC Title Form No. Form Name
Indian Health Service Medical Staff Credentials and Privileges Files
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,709 0 0 3,709 0 0
Annual Time Burden (Hours) 2,371 0 0 2,371 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/16/2003