Evaluation of the Electronic Health Records Demonstration (Discussion Guide for participating pratices)

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

Documents and Forms

Document Name Document Type
A-EHRD Site Visit Discussion Guides - Treatment Group 2-1-10.doc Other-GUIDE FOR PARTICIPATING TREATM
B-EHRD Site Visit Discussion Guides - Control Group 2-1-10.doc Other-GUIDE FOR CONTROL GROUP PRACTI

Information Collection (IC) Details

IC Title:	Evaluation of the Electronic Health Records Demonstration (Discussion Guide for participating pratices)	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
Other-GUIDE FOR PARTICIPATING TREATMENT GROUP PRACTICES			A-EHRD Site Visit Discussion Guides - Treatment Group 2-1-10.doc		Yes	Yes	Paper Only
Other-GUIDE FOR CONTROL GROUP PRACTICES			B-EHRD Site Visit Discussion Guides - Control Group 2-1-10.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 144	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	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.