Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Outpatient and Ambulatory Surgery Experience of Care Survey New 2304 384 0 Form CMS-10500 Outpatient and Ambulatory Surgery Experience of Care Survey
Other-Cover Letter
Form and Instruction CMS-1500 Telephone Interview Script for the Outpatient and Ambulatory Surgery Experience of Care Survey
Total burden requested under this ICR: 2304 384 0  
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