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Restructure or Realignment of Military Medical Treatment Facilities
Restructure or Realignment of Military Medical Treatment Facilities
OMB: 0720-0073
IC ID: 262646
OMB.report
DOD/DODOASHA
OMB 0720-0073
ICR 202310-0720-001
IC 262646
( )
Documents and Forms
Document Name
Document Type
MAX Survey - Restructure or Realignment of MTFs_9.12.2023.pdf
surveys.max.gov/688749?lang=en
Other-
MAX Survey - Restructure or Realignment of MTFs_9.12.2023.pdf
surveys.max.gov/688749?lang=en
Other-
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Restructure or Realignment of Military Medical Treatment Facilities
Agency IC Tracking Number:
0720-RMTF
Is this a Common Form?
No
IC Status:
New
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-
MAX Survey - Restructure or Realignment of MTFs_9.12.2023.pdf
https://surveys.max.gov/688749?lang=en
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:
53,100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
106,200
0
106,200
0
0
0
Annual IC Time Burden (Hours)
17,700
0
17,700
0
0
0
Annual IC Cost Burden (Dollars)
526,752
0
526,752
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.
