Information Collection

Business Proposal Formats for Quality Improvement Organizations (QIOs) - previously known as PEER REVIEW ORGANIZATIONS (PROs)

IC 8187 under ICR 200302-0938-003 · OMB 0938-0579.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0579 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Business Proposal Formats for Quality Improvement Organizations (QIOs) - previously known as PEER REVIEW ORGANIZATIONS (PROs)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	721BP	Yes	Yes
Form	SC1	Yes	Yes
Form	SC2	Yes	Yes
Form	STAFFING	Yes	Yes
Form	720BP	Yes	Yes
Form	CMS-FORM-718BP	Yes	Yes
Form	719BP	Yes	Yes
Form	SUM	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	0	20
Annual IC Time Burden (Hours)	455	-80	535
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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