OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Evaluation of the Electronic Health Records Demonstration (CMS-10273) -Discussion Guide for Community Partners

IC 192043 under ICR 201002-0938-006 · OMB 0938-1072.

Documents and Forms
Document Name
Document Type
Other-GUIDE FOR COMMUNITY PARTNER SI
Information Collection (IC) Details

View Information Collection (IC)

Evaluation of the Electronic Health Records Demonstration (CMS-10273) -Discussion Guide for Community Partners
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-GUIDE FOR COMMUNITY PARTNER SITE COORDINATORS D-EHRD Site Visit Discussion Guide - Community Partners 2-1-10.doc Yes Yes Paper Only

Health Health Care Services

 

8 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 0 4 0 0 0
Annual IC Time Burden (Hours) 4 0 4 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.