Information Collection

A Project to Develop an Outcome-Based Continuous Quality Improvement System and Core comprehensive Assessment Data Set for PACE

IC 8561 under ICR 200105-0938-001 · OMB 0938-0791.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0791 can be found here:

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Information Collection (IC) Details

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IC Title:	A Project to Develop an Outcome-Based Continuous Quality Improvement System and Core comprehensive Assessment Data Set for PACE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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
Form	HCFA-R-299				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,298	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	93,970	67,568	26,402
Annual IC Time Burden (Hours)	21,692	14,489	7,203
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.