HIV Quality Measures Performance Measure Module (HIVQM Module)

HIV Quality Measures Performance Measure Module (HIVQM Module)

OMB: 0906-0022

IC ID: 222138

Information Collection (IC) Details

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HIV Quality Measures Performance Measure Module (HIVQM Module)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form B Draft HIVQM Manual B 2016 DRAFT HIVQM Manual.docx Yes Yes Fillable Fileable
Instruction HIVQM mock up PBS OMB control and expiration.pdf Yes Yes Fillable Fileable
Instruction HIVQM Manual PASSBACK FINAL 12-16.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,316 0
   
State, Local, and Tribal Governments
 
   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 6,948 0 6,948 0 0 0
Annual IC Time Burden (Hours) 6,948 0 6,948 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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