OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Submission of Information for the Hospital Outpatient Quality Data Program

OMB 0938-1044 · HHS/CMS.

OMB 0938-1044

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10250 Submission of Information for the HOP QDRP - Notice of Participation Form
CMS-10250 Supporting Statement Part B_FINAL.doc Supporting Statement B
CMS-10250 Supporting Statement - Part A _FINAL.doc Supporting Statement A
Submission of Information for the HOP QDRP - Notice of Participation Form
Submission of Information for the HOP QDRP - Chart Abstraction

All Historical Document Collections

200908-0938-005 Withdrawn	New collection (Request for a new OMB Control Number)	2009-08-19
200810-0938-018 Withdrawn	New collection (Request for a new OMB Control Number)	2008-10-31
200801-0938-009 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2008-01-31