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LAN Summit - Total Event Evaluations (CMS-10713)

IC 256577 under ICR 202202-0938-003 · OMB 0938-1297.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
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LAN Summit - Total Event Evaluations (CMS-10713)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10713 Summit Evaluation Proposed Questions Draft 2022 Summit Evaluation Proposed Questions.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,133 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 1,133 0 1,133 0 0 0
Annual IC Time Burden (Hours) 567 0 567 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Gen-IC Supporting Statement GenIC Supporting Statement CMS-10713.docx 10/24/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.