Attachment E – Interviews with Partner Hospital cardiologists

Evaluating the Implementation of PCOR to Increase Referral, Enrollment, and Retention through Automatic Referral to Cardiac Rehabilitation (CR) with Care Coordinator

OMB: 0935-0252

IC ID: 241333

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Attachment E – Interviews with Partner Hospital cardiologists
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Attachment E – Interviews with Partner Hospital cardiologists Attachment E. Interviews with Partner Hospital cardiologists (2020-01-08).docx Yes Yes Fillable Fileable

Health Health Care Services

 

16 0
   
Private Sector Businesses or other for-profits
 
   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 32 0 0 0
Annual IC Time Burden (Hours) 16 0 16 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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