OMB.report

Federal forms, ICRs, and supporting documents

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Evaluation of the Medicare Care Management Performance Demonstration (CMS-10256): Benefifiary Survey

IC 186440 under ICR 200809-0938-006 · OMB 0938-1057.

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

View Information Collection (IC)

Evaluation of the Medicare Care Management Performance Demonstration (CMS-10256): Benefifiary Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Surveys MCMP-OMB-Combined Final (5-29-08).pdf Yes Yes Paper Only

Health Health Care Services

 

4,800 0
   
Individuals or Households
 
   50 %

  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 4,800 0 4,800 0 0 0
Annual IC Time Burden (Hours) 1,200 0 1,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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