Health Care and Other Facilities Project Status Update Form- Equipment Only

Health Care and Other Facilities Project Status Update Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0309 can be found here:

Documents and Forms

Document Name Document Type
Form Project Status Upd Health Care and Other Facilities Project Status Update Form- Equipment Only Form
Project Status Upd Project Status Update Form HCOF Monitoring Form Rev DFCR June 1 2007.xls Form
HCOF Construction and Equipment Monitoring Form Instructions Rev DFCR May 30, 2007.doc Instructions IC Document

Information Collection (IC) Details

IC Title:	Health Care and Other Facilities Project Status Update Form- Equipment Only	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	Project Status Update Form	Project Status Update Form	HCOF Monitoring Form Rev DFCR June 1 2007.xls		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 523	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	523	523
Annual IC Time Burden (Hours)	262	262
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Instructions	HCOF Construction and Equipment Monitoring Form Instructions Rev DFCR May 30, 2007.doc	07/02/2007

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