Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System

Small Health Care Provider Quality Improvement Program Performance Improvement Measurement System (PIMS)

OMB: 0915-0387

IC ID: 211726

Information Collection (IC) Details

View Information Collection (IC)

Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 INSTRUMENT - 2017-2018 Quality Program Proposed PIMS Measures FINAL DRAFT.docx INSTRUMENT - 2017-2018 Quality Program Proposed PIMS Measures FINAL DRAFT.docx Yes Yes Fillable Fileable

Health Health Care Services

 

32 32
   
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 32 0 0 0 0 32
Annual IC Time Burden (Hours) 704 0 448 0 0 256
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Revisions RevisionsSmall Health Care Provider Quality Improvement Program Measures - 0915-0....docx 05/07/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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