OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Individualized Quality Control Plan Workbook Survey

IC 225310 under ICR 201606-0920-007 · OMB 0920-0974.

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

View Information Collection (IC)

Individualized Quality Control Plan Workbook Survey 17NR
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0974 03_Screen shots of IQCP Workbook Survey 01-19-2017 03_Screen shots of IQCP Workbook Survey 01-19-2017.pdf Yes Yes Fillable Printable
Instruction 02_Invitation to participate IQCP 01-24-2017.docx Yes Yes Fillable Printable

Health Health Care Services

 

500 0
   
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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 84 0 84 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
01_Request for approval form IQCP 01-24-2017 01_Request for approval form IQCP 01-24-2017.docx 01/25/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.