Medicare Rural Hospital Flexibility Grant Program Performance Measures

Medicare Rural Hospital Flexibility Grant Program Performance Measures

OMB: 0915-0363

IC ID: 206758

Information Collection (IC) Details

View Information Collection (IC)

Medicare Rural Hospital Flexibility Grant Program Performance Measures
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Attachment C Flex screenshots.docx Attachment C Flex screenshots.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

45 0
   
State, Local, and Tribal Governments
 
   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 45 0 0 0 0 45
Annual IC Time Burden (Hours) 3,150 0 0 0 0 3,150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment E - FLEX Reporting Instructions Attachment E Flex Reporting Instructions.pdf 05/22/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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