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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
CAHPS Home Health Care Survey (CMS-10275)
Modified
2967000
593400
0
Form
CMS-10275
Home Health Care CAHPS Survey (English)
Form
CMS-10275
Home Health Care CAHPS Survey (Russian)
Form
CMS-10275
Home Health Care CAHPS Survey (Spanish)
Form
CMS-10275
Home Health Care CAHPS Survey (Telephone)
Form
CMS-10275
Home Health Care CAHPS Survey (Telephone/Proxy)
HHCAHPS Participation Exemption Request (PER) Form
New
2000
1160
0
Form
CMS-10275
Participation Exemption Request (PER) Form
Patient Assessment
Modified
9890
158240
0
Total burden requested under this ICR:
2978890
752800
0
To view an IC, click on IC Title
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