OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Data Collection for the Nursing Home Value-Based Purchasing (NHVBP) Demonstration: ONGOING DATA(CMS-10240)

IC 182816 under ICR 201009-0938-004 · OMB 0938-1039.

Documents and Forms
Document Name
Document Type
Other-Form and Instructions
Information Collection (IC) Details

View Information Collection (IC)

Data Collection for the Nursing Home Value-Based Purchasing (NHVBP) Demonstration: ONGOING DATA(CMS-10240)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Form and Instructions CMS-10240.NHVBP-pra.pdf Yes Yes Fillable Printable

Health Health Care Services

 

178 28
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 712 0 -288 0 0 1,000
Annual IC Time Burden (Hours) 5,530 0 -26,420 0 0 31,950
Annual IC Cost Burden (Dollars) 0 0 -400,000 0 0 400,000

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.