Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CAHPS Home Health Care Survey (CMS-10275) Modified 2967000 593400 0 Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
HHCAHPS Participation Exemption Request (PER) Form New 2000 1160 0 Form CMS-10275
Patient Assessment Modified 9890 158240 0
Total burden requested under this ICR: 2978890 752800 0  
To view an IC, click on IC Title