; (ii) the amount and type of alternative sanctions collected or imposed for technical noncompliance; (iii) the types of violations disclosed; and (iv) such other information as the Inspector General determines may be necessary to evaluate the impact of this paragraph. . 3. Clarification of the writing requirement and signature requirement for arrangements pursuant to the Stark rule under Medicare (a) Writing requirement Section 1877(h)(1) of the Social Security Act ( 42 U.S.C. 1395nn(h)(1) ) is amended by adding at the end the following new subparagraph: (D) Written requirement clarified In the case of any requirement pursuant to this section for a compensation arrangement to be in writing, such requirement shall be satisfied by such means as determined by the Secretary, including by a collection of documents, including contemporaneous documents evidencing the course of conduct between the parties involved. . (b) Signature requirement Section 1877(e) of the Social Security Act ( 42 U.S.C. 1395nn(e) ) is amended— (1) in paragraph (1)(A)(i), by inserting before or not later than 90 days after the effective date of the lease after signed by the parties ; (2) in paragraph (1)(B)(i), by inserting before or not later than 90 days after the effective date of the lease after signed by the parties