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57.700 - Medication Safety Component FHIR Measure-Glycemic Control Module Hypoglycemia-IT Yearly Maintenance

IC 263466 under ICR 202603-0920-006 · OMB 0920-0666.

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Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
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57.700 - Medication Safety Component FHIR Measure-Glycemic Control Module Hypoglycemia-IT Yearly Maintenance 0920-0666
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 57.700 Medication Safety-Digital Measure Reporting Plan (HYPO, HAKI, ORAE) -IT Yearly Maintenance 57.700 Initial Yearly Maintenance.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

5,500 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 0 0 -5,500 0 0 5,500
Annual IC Time Burden (Hours) 0 0 -110,000 0 0 110,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Form Information only 57.700 Medication Safety Component Digital Reporting Plan-Clean Version.docx 11/04/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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