Business Proposal Forms For Quality Improvement Organizations (QIOs)

Business Proposal Forms For Quality Improvement Organizations (QIOs) (CMS-718-721)

OMB: 0938-0579

IC ID: 43659

Information Collection (IC) Details

View Information Collection (IC)

Business Proposal Forms For Quality Improvement Organizations (QIOs)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-718-721 Business Proposal Forms BP Forms.pdf Yes Yes Fillable Fileable
Instruction BPInstructions.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

58 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 58 0 -127 0 0 185
Annual IC Time Burden (Hours) 2,320 0 -6,930 0 0 9,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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