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CMS Computer-Based Training (CBT) Evaluation Form

IC 276875 under ICR 202506-0938-017 · OMB 0938-1331.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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CMS Computer-Based Training (CBT) Evaluation Form
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10598 CMS Computer-Based Training (CBT) Evaluation Form CMS-10598 - Stakeholder CBT Evaluation.docx Yes Yes Fillable Fileable

Health Health Care Services

 

19 0
   
Individuals or Households
 
   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 19 0 19 0 0 0
Annual IC Time Burden (Hours) 5 0 5 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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