Business Proposal Forms For Quality Improvement Organizations (QIOs)

Business Proposal Forms For Quality Improvement Organizations (QIOs) (CMS-718-721)

OMB: 0938-0579

IC ID: 43659

Information Collection (IC) Details

View Information Collection (IC)

Business Proposal Forms For Quality Improvement Organizations (QIOs)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-718-721 Business Proposal Forms BP Forms.XLSX Yes Yes Fillable Fileable
Instruction BP Instructions.docx Yes Yes Fillable Fileable

Health Health Care Services

 

185 0
   
Private Sector Businesses or other for-profits, 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 185 0 0 165 20 0
Annual IC Time Burden (Hours) 9,250 0 0 8,250 1,000 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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