OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Sponsor and Payor Feedback for the Early Payor Feedback Program (CDRH)

IC 249376 under ICR 202204-0910-001 · OMB 0910-0360.

Documents and Forms
Document Name
Document Type
Other-Scripts and Emails
Other-Scripts and Emails
Other-Questionnaire
Other-Questionnaire
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Sponsor and Payor Feedback for the Early Payor Feedback Program (CDRH) CDRH
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Scripts and Emails Payor and Sponsor Intro Scripts and Emails.docx Yes No Printable Only
Other-Questionnaire Survey Questions.docx Yes Yes Fillable Fileable

Health Health Care Services

 

22 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 22 0 0 0 0 22
Annual IC Time Burden (Hours) 15 0 0 0 0 15
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0360 OMB Approval Memo - Sponsor Payor Feedback 2021.docx 09/17/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.