Value Based Purchasing Arrangement Data

State Data Associated with Value Based Purchasing Arrangements (CMS-10722)

OMB: 0938-1385

IC ID: 242409

Information Collection (IC) Details

View Information Collection (IC)

Value Based Purchasing Arrangement Data
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10722 Value Based Purchasing Arrangement Data Worksheet VBPstatedata worksheet.xlsx Yes Yes Fillable Fileable

Health Health Care Services

 

51 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 51 0 51 0 0 0
Annual IC Time Burden (Hours) 306 0 306 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy