Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Inpatient Psychiatric Facility Quality Reporting Program	Modified	471811	1415433	0	Form and Instruction	CMS-10432	Data Collection
					Form and Instruction	CMS-10432	Notice of Participation
					Form and Instruction	CMS-10432	Data Accuracy and Completeness
					Form and Instruction	CMS-10432	Decline to Participate
					Form and Instruction	CMS-10432	Withdrawal
					Form and Instruction	CMS-10432	Reconsideration Request
Total burden requested under this ICR:		471811	1415433	0
To view an IC, click on IC Title