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Health Care and Other Facilities Project Status Update Form- Construction Related
Health Care and Other Facilities Project Status Update Form
OMB: 0915-0309
IC ID: 181197
OMB.report
HHS/HSA
OMB 0915-0309
ICR 201008-0915-002
IC 181197
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0309 can be found here:
2013-06-25 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0309A
Health Care and Other Facilities Project Status Update Form- Construction Related
Form
0309A Health Care and Other Facilities Project Status Update F
Progress Report Form-0309.pdf
Form
hcofuserguide.pdf
Health Care and Other Facilities User Guide
IC Document
Public burden statement screenshot.doc
HCOF Public burden statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Health Care and Other Facilities Project Status Update Form- Construction Related
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
0309A
Health Care and Other Facilities Project Status Update Form-Construction-related
Progress Report Form-0309.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
481
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 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
1,924
0
0
344
0
1,580
Annual IC Time Burden (Hours)
962
0
0
172
0
790
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Health Care and Other Facilities User Guide
hcofuserguide.pdf
08/10/2010
HCOF Public burden statement
Public burden statement screenshot.doc
08/12/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.