Children's Hospitals Graduate Medical Education Quality Bonus System (QBS) Initiative Response Form

Children’s Hospitals Graduate Medical Education (CHGME) Quality Bonus System (QBS) Initiative Response Form

OMB: 0906-0041

IC ID: 234990

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Form and Instruction
Information Collection (IC) Details

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Children's Hospitals Graduate Medical Education Quality Bonus System (QBS) Initiative Response Form
 
No New
 
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 : CHGME Program Quality Bonus Payment System Initiatives Reporting Form.pdf CHGME Program Quality Bonus Payment System Initiatives Reporting Form.pdf Yes Yes Fillable Fileable
Instruction CHGME Program Quality Bonus Payment System Initiatives Reporting Form Instructions_CLEAN.docx Yes Yes Fillable Fileable

Health Health Care Services

 

58 0
   
Private Sector Businesses or other for-profits, Farms, 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 58 0 58 0 0 0
Annual IC Time Burden (Hours) 1,880 0 1,880 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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