Information Collection Request

Evaluation of the Medicare Care Management Performance Demonstration and the Electronic Health Records Demonstration

ICR 200906-0938-009 · OMB 0938-1072 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1-EHRDPRAOMB_C.pdf Supporting Statement B Uploaded 2009-06-09 Available
OSS list of changes in response to public comments 04.13.09.docx Supplementary Document Uploaded 2009-06-09 Available
Responses to public comments 040309.docx Supplementary Document Uploaded 2009-06-09 Available
9-HighlevelSumofChanges.pdf Supplementary Document Uploaded 2009-06-09 Available
3-EHRDPRAOMBApp.pdf Supplementary Document Uploaded 2009-06-09 Available
2-FootnotesEHRDPRAOMB.pdf Supplementary Document Uploaded 2009-06-09 Available
1-EHRDPRAOMB_A_B.pdf Supporting Statement A Uploaded 2009-06-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
189571 Evaluation of the Medicare Care Management Performance Demonstration (Office System Survey) Other-Survey (Track Changes) New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2012 36 Months From Approved
980 0 0
470 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Evaluation of the Medicare Care Management Performance Demonstration (Office System 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 980 0 0 980 0 0
Annual Time Burden (Hours) 470 0 0 470 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No