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Medicare Registration Summary and Medication History Personal Health Record Evaluation
OMB 0938-1058
OMB.report
HHS/CMS
OMB 0938-1058
OMB 0938-1058
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS - 10264 Medicare Registration Summary and Medication History Personal Health Record Evaluation (Discussion Group Burden)
Form and Instruction
Form CM-10264 Medicare Registration Summary and Medication History Personal Health Record Evaluation (Health Plans)
Form and Instruction
Form CM-10264 Medicare Registration Summary and Medication History Personal Health Record Evaluation (Beneficiaries)
Form and Instruction
CMS PHR OMB Statistical Methods Part B Revised.CLEAN.doc
Supporting Statement B
Attachment 2 - NORC BAA_PHR Evaluation.doc
Supplementary Document
CMS-10264 Supporting Statement A Revised.CLEAN.doc
Supporting Statement A
Medicare Registration Summary and Medication History Personal Health Record Evaluation (Discussion Group Burden)
Form and Instruction
Medicare Registration Summary and Medication History Personal Health Record Evaluation (Health Plans)
Form and Instruction
Medicare Registration Summary and Medication History Personal Health Record Evaluation (Beneficiaries)
Form and Instruction
All Historical Document Collections
200810-0938-016
Approved with change
New collection (Request for a new OMB Control Number)
2008-10-29
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