Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS)	Modified	2710000	361333	16500403	Form and Instruction	CMS-10102	Appendix C
					Form and Instruction	CMS-10102	Appendix A
					Form and Instruction	CMS-10102	Appendix B
National Implementation of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) CMS-10102	New	3812	3812	15248000	Form and Instruction	CMS-10102	Appendix B
					Form and Instruction	CMS-10102	Appendix A
					Form and Instruction	CMS-10102	Appendix C
Total burden requested under this ICR:		2713812	365145	31748403
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