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

Document Name
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.pdf Supporting Statement B
1-EHRDPRAOMB_A_B.pdf Supporting 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Evaluation of the Electronic Records Demonstration ( Discussion Guide for pratices that withdrew) Other-GUIDE FOR WITHDRAWN TREATMENT GROUP PRACTICES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)

All Historical Document Collections

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