Information Collection Request
Small Health Care Provider Quality Improvement Program Performance Improvement Measurement System (PIMS)
ICR 202406-0915-002 · OMB 0915-0387 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1 Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System |
Form and Instruction | Modified | Repair queued |
 Supporting Statement A - FORHP - SHCPQI - Revision - 06072024.docx |
Supporting Statement A | Uploaded 2024-06-21 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 211726 |  Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/HSA |
| OMB Control No | 0915-0387 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202106-0915-003 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |