Evaluation of the Medicare Care Management Performance Demonstration (Office System Survey)

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

OMB: 0938-1072

IC ID: 189571

Documents and Forms
Document Name
Document Type
Other-Survey (Track Changes)
Information Collection (IC) Details

View Information Collection (IC)

Evaluation of the Medicare Care Management Performance Demonstration (Office System Survey)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey (Track Changes) EHRD OSS w trk chg 040309.doc Yes Yes Paper Only

Health Health Care Services

 

980 0
   
Private Sector Businesses or other for-profits
 
   90 %

  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 980 0 980 0 0 0
Annual IC Time Burden (Hours) 470 0 470 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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