OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Practitioners, PMD Suppliers, and Advocates

IC 209055 under ICR 201407-0938-014 · OMB 0938-1235.

Documents and Forms
Document Name
Document Type
Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Practitioners, PMD Suppliers, and Advocates
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-10471.Background Research Discussion Guide.docx Yes No Fillable Fileable
Form and Instruction CMS-10471 Revised PMD Stakeholders Screening and Scheduling Guide Revised PMD Stakeholders Screening and Scheduling Guide.docx Yes No Fillable Fileable

Health Health Care Services

 

254 96
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 254 0 0 0 0 254
Annual IC Time Burden (Hours) 288 0 0 0 0 288
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10471 CMS-10471.Qualitative Research Protocols - Advocates.docx 10/23/2013
CMS-10471 CMS-10471.Qualitive Research Protocols-Practitioners.docx 10/23/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.