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National Medical Support Notice
National Medical Support Notice
OMB: 0970-0222
IC ID: 10060
OMB.report
HHS/ACF
OMB 0970-0222
ICR 200411-0970-005
IC 10060
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0222 can be found here:
2024-01-03 - No material or nonsubstantive change to a currently approved collection
2023-03-03 - No material or nonsubstantive change to 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:
National Medical Support Notice
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
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:
54
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
726,516
0
726,516
0
0
0
Annual IC Time Burden (Hours)
123,507
0
123,507
0
0
0
Annual IC Cost Burden (Dollars)
11,000
0
11,000
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.