Information Collection

Medical Foster Homes Recordkeeping Requirements

IC 198739 under ICR 201111-2900-022 · OMB 2900-0777.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0777 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Medical Foster Homes Recordkeeping Requirements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 38 CFR 17.74(q) 38 CFR 17.63(i)

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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