OMB control number

Program Evaluation of the Ninth Scope of Work Quality Improvement Organization Program (CMS-10294)

OMB 0938-1104 · HHS/CMS.

OMB 0938-1104

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10294 Discussions with QIO Partner Organizations (No Full Discussion) Form and Instruction
Form CMS-10294 Discussions with QIO Partner Organizations (Full Discussions) Form and Instruction
Form CMS-10294 Case Study Discussions Form and Instruction
Form CMS-10294 Nursing Home survey Form and Instruction
Form CMS-10294 QIO Survey - Theme Leader Survey Form and Instruction
Form CMS-10294 QIO Survey - QIO director Form and Instruction
Form CMS-10294 Hospital Survey Form and Instruction
Form CMS-10294 Focus Groups Form and Instruction
CMS-10294.Appendix G (8-23-10).pdf Supplementary Document
CMS-10294.Appendix F (8-23-10).pdf Supplementary Document
CMS-10294.Appendix E (8-23-10).pdf Supplementary Document
CMS-10294.Appendix D (8-23-10).pdf Supplementary Document
CMS-10294.Appendix C (8-23-10).pdf Supplementary Document
CMS-10294.Appendix B (8-23-10).pdf Supplementary Document
CMS-10294.Appendix A (8-23-10).pdf Supplementary Document
Math_PRA_OMB discussion 100707.docx Supplementary Document
Rollow et al annals.pdf Supplementary Document
Jencks_q2000.pdf Supplementary Document
Jencks_q2003.pdf Supplementary Document
MPR 8th SOW draft rpt.pdf Supplementary Document
NORC Final QIO Report 1.29.07.pdf Supplementary Document
REV-DESIGN REPORT.pdf Supplementary Document
CMS-10294.Supporting Statment Part B (8-23-10).pdf Supporting Statement B
CMS-10294.Appendices.pdf Supplementary Document
CMS-10294.Supporting Statment Part A (8-23-10).pdf Supporting Statement A
Discussions with QIO Partner Organizations (No Full Discussion) Form and Instruction
Discussions with QIO Partner Organizations (Full Discussions) Form and Instruction
Case Study Discussions Form and Instruction
Nursing Home survey Form and Instruction
QIO Survey - Theme Leader Survey Form and Instruction
QIO Survey - QIO director Form and Instruction
Hospital Survey Form and Instruction
Focus Groups Form and Instruction

All Historical Document Collections

201004-0938-003

Approved with change

New collection (Request for a new OMB Control Number)

2010-04-12