Small Health Care Provider Quality Improvement Program Performance Improvement and Measurement System

Small Health Care Provider Quality Improvement Program Performance Improvement Measurement System (PIMS)

OMB: 0915-0387

IC ID: 211726

Information Collection (IC) Details

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Small Health Care Provider Quality Improvement Program Performance Improvement and 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 PIMS Measures - SHCPQI PIMS Measures - FORHP - SHCPQI - Revision - 06072024.docx Yes Yes Fillable Fileable

Health Health Care Services

 

21 21
   
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 21 0 -11 0 0 32
Annual IC Time Burden (Hours) 284 0 28 0 0 256
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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