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Federal forms, ICRs, and supporting documents

Information Collection

Physician Survey for the 2006 Medicare Oncology Demonstration Program (CMS-10217)

IC 181325 under ICR 200707-0938-011 · OMB 0938-1031.

Documents and Forms
Document Name
Document Type
Other-Advance Letter
Other-Cover Letter
Other-Follow-up Letter
Other-National Cancer Institute Lett
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Physician Survey for the 2006 Medicare Oncology Demonstration Program (CMS-10217)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Follow-up Letter 7_Appendix D_Follow up Letter.doc Yes Yes Paper Only
Other-Cover Letter 6_Appendix C_Cover Letter.doc Yes Yes Paper Only
Other-Advance Letter 5_Appendix B_Advance Letter.doc Yes Yes Paper Only
Form and Instruction CMS-10217 2006 Medicare Oncology Demonstration Program: Physian Survey 4_Appendix A_Physician Survey.doc Yes Yes Paper Only
Other-National Cancer Institute Letter 8_NCI_Support_ Letter.doc Yes Yes Paper Only

Health Health Care Services

 

600 0
   
Individuals or Households
 
   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 600 0 600 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.