Information Collection Request

HEDIS Information Collection Request

ICR 200707-0938-012 · OMB 0938-1028 · Historical Active

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
181326 HEDIS Information Collection Request Form NewCMS-10219.11_Health Plan Description_pp 379-406
181326 HEDIS Information Collection Request Form NewCMS-10219.10_Informed Health Care Choices_pp 375-378
181326 HEDIS Information Collection Request Form NewCMS-10219.9_Cost of Care_pp 303-374
181326 HEDIS Information Collection Request Form NewCMS-10219.8_Use of Services B_pp 271-302
181326 HEDIS Information Collection Request Form NewCMS-10219.7_Use of Services A_pp 221-270
181326 HEDIS Information Collection Request Form NewCMS-10219.6_Health Plan Stability_pp 217-220
181326 HEDIS Information Collection Request Form NewCMS-10219.5_Satisfaction with Care_pp 211-216.
181326 HEDIS Information Collection Request Form NewCMS-10219.4_Access-Availability of Care_pp 179-210.
181326 HEDIS Information Collection Request Form NewCMS-10219.3_Effectiveness of Care B_pp 112-178
181326 HEDIS Information Collection Request Form NewCMS-10219.1_General Guidelines_
181326 HEDIS Information Collection Request Form NewCMS-10219.2_Effectiveness of Care A_pp 55-111
181326 HEDIS Information Collection Request Other-Appendices New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2010 36 Months From Approved
705 0 0
33,840 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
HEDIS Information Collection Request CMS-10219, CMS-10219, CMS-10219, CMS-10219, CMS-10219, CMS-10219, CMS-10219, CMS-10219, CMS-10219, CMS-10219, CMS-10219 ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

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 705 0 0 705 0 0
Annual Time Burden (Hours) 33,840 0 0 33,840 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No