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Sickle Cell Disease Treatment Demonstration Program (SCDTDP) Evaluation - Quality Improvement Instrument

IC 197495 under ICR 201204-0915-001 · OMB 0915-0344.

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Document Type
Form
Form
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Sickle Cell Disease Treatment Demonstration Program (SCDTDP) Evaluation - Quality Improvement Instrument
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 008_Sickle Cell_QI Instrument 008_Sickle Cell_QI Instrument SCDTDP Quality Improvement Instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

 

9 0
   
Private Sector 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 108 0 0 0 0 108
Annual IC Time Burden (Hours) 432 0 0 0 0 432
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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