Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Health Outcomes Survey (HOS) and Supporting Regulations at 42 CFR 422.152 (CMS-10203) Modified 320040 105613 0 Form and Instruction CMS-10203 EG
Form and Instruction CMS-10203 SP
Form and Instruction CMS-10203 CH
Form and Instruction CMS-10203 EGM
Form and Instruction CMS-10203 SPM
Form and Instruction CMS-10203 CHM
Total burden requested under this ICR: 320040 105613 0  
To view an IC, click on IC Title