OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Evaluation of the Medicare Care Management Performance Demonstration and the Electronic Health Records Demonstration

OMB 0938-1072 · HHS/CMS.

OMB 0938-1072

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-10273 Evaluation of the Electronic Health Records Demonstration (Office System Survey)Form and Instruction
Form CMS-10273 Evaluation of the Electronic Health Records Demonstration (Office System Survey Val Form)Form and Instruction
Updated timelines.docx Supplementary Document
PRApkgCMS-10273;OMB0938-1072.docx Supplementary Document
1-EHRDPRAOMB_C.pdfSupporting Statement B
1-EHRDPRAOMB_A_B.pdfSupporting Statement A
Evaluation of the Electronic Records Demonstration ( Discussion Guide for pratices that withdrew) Other-GUIDE FOR WITHDRAWN TREATMENT GROUP PRACTICES
Evaluation of the Electronic Health Records Demonstration (Discussion Guide for participating pratices) Other-GUIDE FOR PARTICIPATING TREATMENT GROUP PRACTICES
Evaluation of the Electronic Health Records Demonstration (CMS-10273) -Discussion Guide for Community Partners Other-GUIDE FOR COMMUNITY PARTNER SITE COORDINATORS
Evaluation of the Electronic Health Records Demonstration (Office System Survey) Form and Instruction
Evaluation of the Electronic Health Records Demonstration (Office System Survey Val Form) Form and Instruction
Evaluation of the Medicare Care Management Performance Demonstration (Office System Survey) Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201002-0938-006 Revision of a currently approved collection 2010-02-19 Approved without change
201001-0938-007 Revision of a currently approved collection 2010-01-27 Approved without change
200906-0938-009 New collection (Request for a new OMB Control Number) 2009-06-15 Approved with change