Informatics, Telemedicine, and Education Demonstration Project

ICR 200506-0938-002

OMB: 0938-0806

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0806 200506-0938-002
Historical Active 200206-0938-005
HHS/CMS
Informatics, Telemedicine, and Education Demonstration Project
Extension without change of a currently approved collection   No
Regular
Approved without change 07/12/2005
Retrieve Notice of Action (NOA) 06/06/2005
  Inventory as of this Action Requested Previously Approved
07/31/2008 07/31/2008 08/31/2005
7,094 0 10,043
12,379 0 19,999
0 0 0

Section 4207 of the Balanced Budget Act of 1997 mandated CMS to conduct a demonstration project to evaluate the effectiveness of advanced computer and telecommunications technology ("telemedicine") to manage the care of people with diabetes. CMS issued a request for proposals and, after review of the responses, selected a consortium led by Columbia University to conduct this project. Section 417 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 authorized CMS to extend the demonstration project.

None
None


No

1
IC Title Form No. Form Name
Informatics, Telemedicine, and Education Demonstration Project CMS-10014

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,094 10,043 0 0 -2,949 0
Annual Time Burden (Hours) 12,379 19,999 0 0 -7,620 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/06/2005


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