Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
42 CFR 495.10(a)-(c) -- (EPs) (2011) average Removed 0 0 0
42 CFR 495.10(d) - (EPs) (2012) average Removed 0 0 0
42 CFR 495.10(d) - (hospital) (2012) Removed 0 0 0
42 CFR 495.10(e)(1) - (EPs) (2011) average Removed 0 0 0
42 CFR 495.10(e)(2) - (EPs) (2012) average Removed 0 0 0
42 CFR 495.2(e) Medicaid eligible hospitals Modified 133 988 0
42 CFR 495.202(b)(2) (2012) EPs-final ID Removed 0 0 0
42 CFR 495.202(b)(2) (2012) EPs-preliminary ID Removed 0 0 0
42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-final ID Removed 0 0 0
42 CFR 495.202(b)(2) (2012) MA-affiliated hospitals-preliminary ID Removed 0 0 0
42 CFR 495.204(b)(4) (2012) EPs-method Removed 0 0 0
42 CFR 495.204(b)(5) or (b)(6)(2012) EPs-salary Removed 0 0 0
42 CFR 495.210(b) (2012) EPs-attestation Removed 0 0 0
42 CFR 495.22 Medicaid EPs Modified 80000 548800 0
42 CFR 495.22(c) Medicare eligible hospitals Modified 3300 24519 0
42 CFR 495.306(a)(1)(ii)(A) Removed 0 0 0
42 CFR 495.306(a)(1)(ii)(B) Removed 0 0 0
42 CFR 495.306(a)(2) Removed 0 0 0
42 CFR 495.316 Removed 0 0 0
42 CFR 495.330(a) - average Removed 0 0 0
42 CFR 495.342 Frequency of Health Information Technology (HIT) Implementation Advanced Planning Document (IAPD) Updates Modified 56 1120 0
42 CFR 495.348(c) Removed 0 0 0
42 CFR 495.348(e) Removed 0 0 0
42 CFR 495.348(f) Removed 0 0 0
42 CFR 495.350--average Removed 0 0 0
42 CFR 495.352 -- average Removed 0 0 0
42 CFR 495.366 -- average Removed 0 0 0
42 CFR 495.8 (a)(1)- Menu Set Objectives/Measures average (EPs) (2011) Removed 0 0 0
42 CFR 495.8 (a)(2)- Ambulatory Quality Measures (EPs) (2012) Removed 0 0 0
42 CFR 495.8 (a)(2)- Menu Set Objectives/ Measures average (EPs) (2012) Removed 0 0 0
42 CFR 495.8 (b)(1)-- EHR Technology Used, Core Set Objectives/Measures & Quality Measures (hospitals/CAHs) (2011) Removed 0 0 0
42 CFR 495.8 (b)(2)- Hospital Quality Measures (hospitals/CAHs) (2012) Removed 0 0 0
42 CFR 495.8 (b)(2)- Menu Set Objectives/ Measures average (hospitals/CAHs) (2012) Removed 0 0 0
42 CFR 495.8 (b)(2)-- EHR Technology Used & Core Set Objectives/Measures (hospitals/CAHs) (2012) Removed 0 0 0
42 CFR 495.8(a)(2) - EHR Technology Used & Core Set Objectives/Measures (EPs) (2012) Removed 0 0 0
42 CFR 495.8(b)(1) - Menu Set Objectives/ Measures average (hospitals/CAHs) (2011) Removed 0 0 0
495.210 - Attesting on behalf of MA EPs Removed 0 0 0
495.210 - Attesting on behalf of MA-affiliated hospitals Removed 0 0 0
495.210 - Gather information for attestation (MA EPs) Removed 0 0 0
495.210 - Gather information for attestation (MA-affiliated hospitals) Removed 0 0 0
495.210 - Total Cost of Attestation for Stage 2 (MA EPs) Removed 0 0 0
495.210 - Total cost of attestation for Stage 2 (MA-affiliated hospitals) Removed 0 0 0
495.342 - Frequency of Health Information Technology (HIT) Implementation Advanced Planning Document (IAPD) Updates Removed 0 0 0
495.6 - EHR Technology Used, Core Set Objectives/Measures (Hospitals/CAHS) Removed 0 0 0
495.6 - Menu Set Objectives/Measures (EPs) average Removed 0 0 0
495.6 - Menu Set Objectives/Measures (Hospitals/CAHs) Removed 0 0 0
495.6 EHR Technology Used, Core Set Objectives/Measures (EPs) Removed 0 0 0
495.8 - CQMs for hospitals/CAHS Removed 0 0 0
495.8 - CQMs for hospitals/CAHs Removed 0 0 0
Total burden requested under this ICR: 83489 575427 0  
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