Information Collection

Provider Assessment

IC 216768 under ICR 201803-2900-005 · OMB 2900-0843.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0843 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-10162 Provider Assessment	Form and Instruction
10-10162 Provider Assessment proposed_2019 CHALENG Provider Survey_Word.docx	Form and Instruction

IC Title:

Provider Assessment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	10-10162	Provider Assessment	proposed_2019 CHALENG Provider Survey_Word.docx		No		Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,700

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,700	-3,300	8,000
Annual IC Time Burden (Hours)	705	-362	1,067
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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