OMB
.report
Search
PQRI: E-Prescribing Reporting by Indiviual Eligible Professionals
Physician Quality Reporting Initiative
OMB: 0938-1059
IC ID: 191554
OMB.report
HHS/CMS
OMB 0938-1059
ICR 200912-0938-007
IC 191554
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1059 can be found here:
2016-03-23 - Revision of a currently approved collection
2015-07-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
2010_eRx_MeasureSpecification_ReleaseNotes_111309.pdf
Instruction
2010 eRx_Measure_Specification_111309.pdf
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
PQRI: E-Prescribing Reporting by Indiviual Eligible Professionals
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
2010_eRx_MeasureSpecification_ReleaseNotes_111309.pdf
Yes
Yes
Fillable Fileable
Instruction
2010 eRx_Measure_Specification_111309.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
110,000
Number of Respondents for Small Entity:
110,000
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
110,000
0
110,000
0
0
0
Annual IC Time Burden (Hours)
300,209
0
300,209
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.