OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Healthcare Provider (Profit/Non-Profit Business)

IC 205111 under ICR 202204-0584-005 · OMB 0584-0580.

Documents and Forms
Document Name
Document Type
Other-App_H1.Year 9 HW measurement c
Other-App_H1.Year 9 HW measurement c
Other-App_H2.Year 9 HW measurement c
Other-App_H2.Year 9 HW measurement c
Information Collection (IC) Details

View Information Collection (IC)

Healthcare Provider (Profit/Non-Profit Business)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-App_H1.Year 9 HW measurement card - English App_H1.Year 9 HW measurement card - English.docx No   Paper Only
Other-App_H2.Year 9 HW measurement card - Spanish App_H2.Year 9 HW measurement card - Spanish.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

428 171
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 428 0 0 0 0 428
Annual IC Time Burden (Hours) 71 0 0 0 0 71
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.