Information Collection

Using a Positive Deviance Framework to Learn about Successful Local Health Department Billing Practices

IC 217998 under ICR 201403-0990-004 · OMB 0990-0421.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0421 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0990-0421Attc_ASPE Generic_LHD Billing ver 2.docx	Other-survey
0990-0421Supporting Statement A_LHD_Billing_final (2).docx Using a Positive Deviance Framework to Learn about Successful Local Health Department Billing Practices	IC Document

IC Title:

Using a Positive Deviance Framework to Learn about Successful Local Health Department Billing Practices

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			0990-0421Attc_ASPE Generic_LHD Billing ver 2.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Using a Positive Deviance Framework to Learn about Successful Local Health Department Billing Practices	0990-0421Supporting Statement A_LHD_Billing_final (2).docx	09/01/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.