Information Collection

Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)

IC 257144 under ICR 202211-0938-011 · OMB 0938-1185.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form CMS-10820
Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)
Form and Instruction
Form CMS-10820
CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators Guide_Rev 20220803 Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)
Form and Instruction
Form CMS-10820
CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Rev 20221007.docx Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)
Form and Instruction
CMS-10820 CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators G
CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators Guide_Rev 20220803.docx
Form and Instruction
CMS-10820 CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators G
CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators Guide_Rev 20220803.docx
Form and Instruction
CMS-10820 CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Re
CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Rev 20221007.docx
Form and Instruction
CMS-10820 CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Re
CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Rev 20221007.docx
Form and Instruction
CMS-10820.CMS OBRHI_Clinician Focus Groups_Supporting Statement_Rev 20221007 (1).docx
CMS-10820.CMS OBRHI_Clinician Focus Groups Supporting Statement_Rev 20221007 (1)
IC Document
CMS-10820.CMS OBRHI_Clinician Focus Groups_Supporting Statement_Rev 20221007 (1).docx
CMS-10820.CMS OBRHI_Clinician Focus Groups Supporting Statement_Rev 20221007 (1)
IC Document

Information Collection (IC) Details

Record metadata
Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)