Information Collection

Maximizing The Promise of Health Information Technology through the Promotion of Interoperability: Value-Based Care

IC 244305 under ICR 201705-0990-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
0990-0421-10_Attachment H_Discussion Guide_Maximizing HIT through Interoperability in VBP.docx	Other-survey
04 _Attachment A_Site Selection Criteria_Maximizing HIT through Interoperability in VBP.docx Att A Site Selection Criteria:	IC Document
05_Attachment B_Recruitment plan_Maximizing HIT through Interoperability in VBP.docx Att B Recruitment Plan	IC Document
07_Attachment D_Script for Verbal Consent_Maximizing HIT through Interoperability in VBP_Moved PRA Blurb.docx Att D Script for Verbal consent	IC Document
07_Attachment E_Initial Recruitment Email from ONC_Maximizing HIT through Interoprabilityi in VBP.docx Att E Initial Recruitment email	IC Document
08_Attachment F_Recruitment Email from Urban_Maximizing HIT through Interoperability in VBP.docx Att F Recruitment email from Urban	IC Document
09_Attachment G_Follow-Up Reminder Email from Urban_Maximizing HIT through Interoperability.docx Att G Follow-up Reminder Email	IC Document
01_ASPE Generic_0990-0421_cover sheet_Maximizing HIT through Interoperability_clean.docx cover sheet	IC Document
02_SupportingStatement A - ASPE Generic_Maximizing HIT through Interoperability in VBP_v2_CLEAN.docx SS-A	IC Document
03_SupportingStatement B - ASPE Generic_Maximizing HIT through Interoperability in VBP_an edits v2_CLEAN.docx SS-B	IC Document
06_Attachment C_Discussion Guide_Maximizing HIT through Interoperability in VBP.docx Att C Disccussion Guide	IC Document

IC Title:

Maximizing The Promise of Health Information Technology through the Promotion of Interoperability: Value-Based Care

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			0990-0421-10_Attachment H_Discussion Guide_Maximizing HIT through Interoperability in VBP.docx		No		Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	35	35
Annual IC Time Burden (Hours)	35	35
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att A Site Selection Criteria:	04 _Attachment A_Site Selection Criteria_Maximizing HIT through Interoperability in VBP.docx	10/28/2020
Att B Recruitment Plan	05_Attachment B_Recruitment plan_Maximizing HIT through Interoperability in VBP.docx	10/28/2020
Att D Script for Verbal consent	07_Attachment D_Script for Verbal Consent_Maximizing HIT through Interoperability in VBP_Moved PRA Blurb.docx	10/28/2020
Att E Initial Recruitment email	07_Attachment E_Initial Recruitment Email from ONC_Maximizing HIT through Interoprabilityi in VBP.docx	10/28/2020
Att F Recruitment email from Urban	08_Attachment F_Recruitment Email from Urban_Maximizing HIT through Interoperability in VBP.docx	10/28/2020
Att G Follow-up Reminder Email	09_Attachment G_Follow-Up Reminder Email from Urban_Maximizing HIT through Interoperability.docx	10/28/2020
cover sheet	01_ASPE Generic_0990-0421_cover sheet_Maximizing HIT through Interoperability_clean.docx	10/28/2020
SS-A	02_SupportingStatement A - ASPE Generic_Maximizing HIT through Interoperability in VBP_v2_CLEAN.docx	10/28/2020
SS-B	03_SupportingStatement B - ASPE Generic_Maximizing HIT through Interoperability in VBP_an edits v2_CLEAN.docx	10/28/2020
Att C Disccussion Guide	06_Attachment C_Discussion Guide_Maximizing HIT through Interoperability in VBP.docx	10/28/2020

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