OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

. Learning Collaborative QI Measures – pull and submit

IC 243381 under ICR 202107-0935-002 · OMB 0935-0258.

Documents and Forms
Document Name
Document Type
Other-Quality Improvement Measures
Other-Quality Improvement Measures
Information Collection (IC) Details

View Information Collection (IC)

. Learning Collaborative QI Measures – pull and submit
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Quality Improvement Measures Attachment F. Quality Improvement Measures.docx Yes No Paper Only

Health Health Care Services

 

24 0
   
Individuals or Households
 
   0 %

  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 96 0 0 0 0 96
Annual IC Time Burden (Hours) 480 0 0 0 0 480
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.