Information Collection Request

Education and Human Resources Program Monitoring Data Collections

ICR 201212-3145-001 · OMB 3145-0226 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
2012 EHR Prog Monitoring_Master Crosswalk_updated 20121105.doc Supplementary Document Uploaded 2012-12-21 Available
AppendixE_2012 EHR Prog Monitoring_Annual Response Burden_updated 20121219.doc Supplementary Document Uploaded 2012-12-21 Available
AppendixD_2012_EHR Prog Monitoring_RPPR Format.doc Supplementary Document Uploaded 2012-12-21 Available
AppendixC_2012 EHR Prog Monitoring_2011 EHR Generic TOC.doc Supplementary Document Uploaded 2012-12-21 Available
AppendixB_2012 EHR Prog Monitoring_Memo.doc Supplementary Document Uploaded 2012-12-21 Available
AppendixA_2012 EHR Prog Monitoring_Previous EHR Generic TOC.doc Supplementary Document Uploaded 2012-12-21 Available
3145-NEW EHR Monitoring survey Part B.docx Supporting Statement B Uploaded 2012-12-21 Repair queued
3145-NEW EHR Monitoring survey Part A.doc Supporting Statement A Uploaded 2012-12-21 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/29/2016 36 Months From Approved
9,845 0 0
62,649 0 0
288,096 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 9,845 0 0 9,845 0 0
Annual Time Burden (Hours) 62,649 0 0 62,649 0 0
Annual Cost Burden (Dollars) 288,096 0 0 288,096 0 0


Reginfo record details
  No