Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HEDIS Information Collection Request New 705 33840 0 Form CMS-10219 CMS-10219.2_Effectiveness of Care A_pp 55-111
Form CMS-10219 CMS-10219.1_General Guidelines_
Form CMS-10219 CMS-10219.3_Effectiveness of Care B_pp 112-178
Form CMS-10219 CMS-10219.4_Access-Availability of Care_pp 179-210.
Form CMS-10219 CMS-10219.5_Satisfaction with Care_pp 211-216.
Form CMS-10219 CMS-10219.6_Health Plan Stability_pp 217-220
Form CMS-10219 CMS-10219.7_Use of Services A_pp 221-270
Form CMS-10219 CMS-10219.8_Use of Services B_pp 271-302
Form CMS-10219 CMS-10219.9_Cost of Care_pp 303-374
Form CMS-10219 CMS-10219.10_Informed Health Care Choices_pp 375-378
Form CMS-10219 CMS-10219.11_Health Plan Description_pp 379-406
Other-Appendices
Instruction
Instruction
Total burden requested under this ICR: 705 33840 0  
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