OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Evaluation of the Implementation and Impact of Pay-for-Quality Programs

IC 178812 under ICR 200702-0935-003 · OMB 0935-0130.

Documents and Forms
Document Name
Document Type
Other-Other
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Evaluation of the Implementation and Impact of Pay-for-Quality Programs
 
No New
 
Voluntary
 
5 CFR 1320.6

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Other SNAP P4Q Supporting Documents - Appendix.doc No No Paper Only

Health Health Care Services

 

240 0
   
Private Sector Not-for-profit institutions
 
   0 %

  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 240 0 240 0 0 0
Annual IC Time Burden (Hours) 114 0 114 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Interview Protocol Revised 6-19 Interview Protocol Revised 6-19.doc 06/28/2007
Survey Instrument - BMC Version Revised 6-19 Survey Instrument - BMC Version Revised 6-19.doc 06/28/2007
Survey Instrument - Montefiore Version Revised 6-19 Survey Instrument - Montefiore Version Revised 6-19.doc 06/28/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.