Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System Database

Data Collection Tool for Rural Health Community-Based Grant Programs

OMB: 0915-0319

IC ID: 184012

Information Collection (IC) Details

View Information Collection (IC)

Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System Database
 
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
Form 4 Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System Database 4 Quality Program PIMS Measures.docx Yes Yes Fillable Fileable

Health Health Care Services

 

30 30
   
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 30 0 -29 0 0 59
Annual IC Time Burden (Hours) 218 0 -254 0 0 472
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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