Information Collection

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

IC 217998 under ICR 201704-0990-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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: Unchanged

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					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
	Requested	Previously Approved
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		09/01/2015

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

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