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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.