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Physician
OS Think Cultural Health
OMB: 0990-0407
IC ID: 205342
OMB.report
HHS/HHSDM
OMB 0990-0407
ICR 201511-0990-001
IC 205342
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0407 can be found here:
2022-08-26 - Reinstatement without change of a previously approved collection
2019-04-30 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
0990-TCH Registration Questions (Attachment B).pdf
Other-form
0990-TCH Registration Questions.BMP
Other-form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Physician
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-form
0990-TCH Registration Questions (Attachment B).pdf
Yes
Yes
Fillable Printable
Other-form
0990-TCH Registration Questions.BMP
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
The Think Cultural Health Web Site Program
FR Citation:
77 FR 68123
Number of Respondents:
27,477
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
0
0
-27,477
0
0
27,477
Annual IC Time Burden (Hours)
0
0
-1,374
0
0
1,374
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.