Designation of Non Metro Area MUP/HPSA

Designation of Medically Underserved Populations and Health Professional Shortage Areas

OMB: 0915-0317

IC ID: 183982

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Designation of Non Metro Area MUP/HPSA
 
No New
 
Required to Obtain or Retain Benefits
 
42 CFR 5

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction proposed method.doc Yes No Printable Only

Health Health Care Services

 

54 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 909 909 0 0 0 0
Annual IC Time Burden (Hours) 9,908 9,908 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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