OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Att S_Quarterly Transmission of EHR Data

IC 186285 under ICR 202407-0920-002 · OMB 0920-0212.

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

View Information Collection (IC)

Att S_Quarterly Transmission of EHR Data 0920-0212
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0212 Quarterly Transmission of EHR Data Att S - Qtr Data Trans of EHR Data.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0167 Health Resources Utilization Statistics  49 FR 37693

200 0
   
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 800 0 0 0 0 800
Annual IC Time Burden (Hours) 800 0 0 0 0 800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.