OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

National Voluntary Hospital Reporting Initiative--Hospital Quality Measures

IC 45693 under ICR 200610-0938-008 · OMB 0938-0918.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

National Voluntary Hospital Reporting Initiative--Hospital Quality Measures
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10109 CMS-10109.CART Summary CMS-10109.CART Summary.doc Yes Yes Fillable Fileable
Form and Instruction CMS-10109 CMS-10109.final praoryx CMS-10109.final praoryx.doc Yes Yes Fillable Fileable
Form and Instruction CMS-10109 CMS-10109.final praqnet CMS-10109.final praqnet.doc Yes Yes Fillable Fileable

Health Health Care Services

 

600 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 2,400 0 2,400 0 0 0
Annual IC Time Burden (Hours) 246,000 0 246,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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