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IHS Medical Staff Credentials and Privileges File
IHS Medical Staff Credentials and Privileges File
OMB: 0917-0009
IC ID: 6567
OMB.report
HHS/IHS
OMB 0917-0009
ICR 200211-0917-002
IC 6567
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0917-0009 can be found here:
2023-08-01 - Revision of a currently approved collection
2020-02-27 - 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:
IHS Medical Staff Credentials and Privileges File
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,709
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
3,709
0
0
0
0
3,709
Annual IC Time Burden (Hours)
2,371
0
150
0
0
2,221
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.