ONC Interoperability Overall Forum Evaluation

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (HITRC)

OMB: 0955-0003

IC ID: 237316

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

View Information Collection (IC)

ONC Interoperability Overall Forum Evaluation
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0955-003 ONC Interoperability Forum Overall Evaluation 0955-0003 Final overall survey_web (003).docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,160 0
   
Individuals or Households
 
   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 2,160 0 0 0 0 2,160
Annual IC Time Burden (Hours) 3 0 0 0 0 3
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ONC Interoperability Overall Forum Evaluation Memo 0955-0003 Generic_Clearance_Submission_Forum_OMB Online_Web (1) (003).doc 08/12/2019
ONC Interoperability Forum Overall Evaluation 0955-0003 Final overall survey_web (003).docx 08/14/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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