QIC Demonstration Evaluation Contractor (QDEC): Key Informant Interviews

QIC Demonstration Evaluation Contractor (QDEC): Analyze Medicare Appeals to Conduct Formal Discussions and Reopenings with Suppliers

OMB: 0938-1348

IC ID: 227304

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QIC Demonstration Evaluation Contractor (QDEC): Key Informant Interviews
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10633 Key Informant Interviews QDEC_Attachment B Key Informant Interviews _Revised for Passback.docx Yes Yes Fillable Fileable

Health Health Care Services

 

100 15
   
Private Sector Businesses or other for-profits
 
   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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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