OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Rural Health Care Coordination Program Performance Improvement Measurement System;

IC 222525 under ICR 202507-0906-003 · OMB 0906-0024.

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

View Information Collection (IC)

Rural Health Care Coordination Program Performance Improvement Measurement System;
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Rural Health Care Coordination Program Performance Measures FY23 Rural Health Care Coordination Program Performance Measures_Final 08162024.docx Yes Yes Fillable Fileable
Form and Instruction 1 Rural Health Care Coordination Program Performance Measures Attachment 1_Rural Health Care Coordination Program Performance Measures_SOGI edits FINAL 07232025.docx Yes Yes Fillable Fileable

Health Health Care Services

 

10 10
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved 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 10 0 0 0 0 10
Annual IC Time Burden (Hours) 487 0 0 0 0 487
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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