PRA IC List
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Agenda
Reg Review
ICR
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
1099560
366520
0
Other-Other: Medicare HOS - Modified 2010 Questionnaire: English
Other- Other: Medicare HOS - Modified 2010 Questionnaire: Spanish
Other- Other: Medicare HOS - Modified 2010 Questionnaire: Chinese
Other- Other: Other: Medicare HOS - Modified 2010 Questionnaire: English
Other- Other: Other: Medicare HOS - Modified 2010 Questionnaire: Spanish
Other- Other: Other: Medicare HOS - Modified 2010 Questionnaire: Chinese
Total burden requested under this ICR:
1099560
366520
0
To view an IC, click on IC Title
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The .gov means it's official.
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