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Performance Improvement Measurement System for the Office for the Advancement of Telehealth
Office for the Advancement of Telehealth (OAT) Telehealth Outcome Measures
OMB: 0915-0311
IC ID: 180666
OMB.report
HHS/HSA
OMB 0915-0311
ICR 201312-0915-001
IC 180666
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0915-0311 can be found here:
2023-07-12 - Extension without change of a currently approved collection
2020-08-13 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Performance Improvement Measurement System for the Office for the Advancement of Telehealth
Form
OAT PIMS Instructions.doc
Instruction
1 OAT Grantee Tutorial for PIMS login
OAT Grantee Tutorial for PIMS login.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Performance Improvement Measurement System for the Office for the Advancement of Telehealth
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1
OAT Grantee Tutorial for PIMS login
OAT Grantee Tutorial for PIMS login.pdf
Yes
Yes
Fillable Printable
Instruction
OAT PIMS Instructions.doc
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
700
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
1,400
0
0
66
0
1,334
Annual IC Time Burden (Hours)
9,800
0
0
462
0
9,338
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.