Internet Quality Improvement and Evaluation System (iQIES) HCD User Research Form (CMS-10808)

Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams (CMS-10706)

OMB: 0938-1397

IC ID: 267551

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Form and Instruction
Form and Instruction
Form and Instruction
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Internet Quality Improvement and Evaluation System (iQIES) HCD User Research Form (CMS-10808)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10808 iQIES HCD User Research Form CMS-10808 iQIES HCD User Research Form_ICR 3-7-22.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 167 0 167 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement CMS-10808 iQIES HCD User Research Form_ICR 3-7-22.docx 05/09/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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