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Uniform Data System
HRSA Uniform Data System (UDS)
OMB: 0915-0193
IC ID: 6420
OMB.report
HHS/HSA
OMB 0915-0193
ICR 202403-0915-003
IC 6420
( )
Documents and Forms
Document Name
Document Type
Form 1
Uniform Data System
Form and Instruction
1 UDS Tables Excel Format
OMB 0193_UDS Tables Excel Format.xlsx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Uniform Data System
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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 and Instruction
1
UDS Tables Excel Format
OMB 0193_UDS Tables Excel Format.xlsx
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:
1,978
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
1,978
0
0
0
0
1,978
Annual IC Time Burden (Hours)
375,324
0
0
0
0
375,324
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.