HRSA Electronic Health Record Readiness Assessment

HRSA Electronic Health Record Readiness Assessment

OMB: 0915-0325

IC ID: 189033

Documents and Forms
Information Collection (IC) Details

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HRSA Electronic Health Record Readiness Assessment
 
  New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction EHR readiness EHR Readiness CIP revised.doc Yes Yes Fillable Fileable

Health Health Care Services

 

568 0
   
Private Sector Not-for-profit institutions
 
   100 %

  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 568 568 0 0 0 0
Annual IC Time Burden (Hours) 142 142 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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