HIV Quality Measures Performance Measure Module (HIVQM Module)

HIV Quality Measures Performance Measure Module (HIVQM Module)

OMB: 0906-0022

IC ID: 222138

Information Collection (IC) Details

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HIV Quality Measures Performance Measure Module (HIVQM Module)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Draft Manual Draft Manual_reviewed.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,316 0
   
State, Local, and Tribal Governments
 
   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 9,264 0 0 2,316 0 6,948
Annual IC Time Burden (Hours) 55,584 0 0 48,636 0 6,948
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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