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Business Proposal Formats for Quality Improvement Organizations (QIOs) - previously known as PEER REVIEW ORGANIZATIONS (PROs)
Business Proposal Formats for Quality Improvement Organizations (QIOs) - previously known as PEER REVIEW ORGANIZATIONS (PROs)
OMB: 0938-0579
IC ID: 8187
OMB.report
HHS/CMS
OMB 0938-0579
ICR 200302-0938-003
IC 8187
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0579 can be found here:
2021-04-14 - Revision of a currently approved collection
2018-01-25 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
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.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
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
Federal Enterprise Architecture Business Reference Module
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
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
20
0
0
0
0
20
Annual IC Time Burden (Hours)
455
0
0
-80
0
535
Annual IC Cost Burden (Dollars)
0
0
0
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.