Information Collection

Medicare Gainsharing Demonstration Evaluation: Physician Focus Groups (CMS-10303)

IC 192883 under ICR 201005-0938-004 · OMB 0938-1103.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1103 can be found here:

Documents and Forms

Document Name Document Type
ATTACHMENT C and D.docx Other-Advance Letters and Focus Grou

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Medicare Gainsharing Demonstration Evaluation: Physician Focus Groups (CMS-10303)	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-Advance Letters and Focus Group Discussion Protocol			ATTACHMENT C and D.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 77	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	77	77
Annual IC Time Burden (Hours)	77	77
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.