National Voluntary Hospital Reporting Initiative--Hospital Quality Measures

National Voluntary Hospital Reporting Initiative--Hospital Quality Measures

OMB: 0938-0918

IC ID: 8762

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 Modified
 
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.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
Form and Instruction CMS-10109 CMS-10109.CART Summary CMS-10109.CART Summary.doc Yes Yes Fillable Fileable

Health Health Care Services

 

3,100 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 12,400 0 -3,600 0 0 16,000
Annual IC Time Burden (Hours) 337,776 0 99,776 0 0 238,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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