Information Collection Request

Physician Survey for the 2006 Medicare Oncology Demonstration Program

ICR 200707-0938-011 · OMB 0938-1031 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
3_CMS-10217-3_OMB Package_071212.doc Supporting Statement B Uploaded 2007-12-12 Available
3_CMS-10217-3_OMB Package_071212.doc Supporting Statement A Uploaded 2007-12-12 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
181325 Physician Survey for the 2006 Medicare Oncology Demonstration Program (CMS-10217) Other-Follow-up Letter New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved
600 0 0
100 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Physician Survey for the 2006 Medicare Oncology Demonstration Program (CMS-10217) CMS-10217 2006 Medicare Oncology Demonstration Program: Physian Survey

table that charts list of burden
  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 600 0 0 600 0 0
Annual Time Burden (Hours) 100 0 0 100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No