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Uncompensated Services Assurance Report
Uncompensated Services Assurance Report
OMB: 0915-0077
IC ID: 6347
OMB.report
HHS/HSA
OMB 0915-0077
ICR 199911-0915-002
IC 6347
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0077 can be found here:
2012-06-25 - Extension without change of a currently approved collection
2012-05-02 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Uncompensated Services Assurance Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HRSA-710
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
621
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 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
155,080
0
0
-189,159
0
344,239
Annual IC Time Burden (Hours)
152,498
0
0
-384,580
0
537,078
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.