Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Inpatient Psychiatric Facility Quality Reporting Program Modified 904056 2283717 0 Form and Instruction CMS-10432 IPFQR (Screen Shots)
Form CMS-10432 EHR & Patient Experience (data collection form)
Form CMS-10432 TOB & IMM (data collection form)
Form CMS-10432 SUB-1 (data collection form)
Total burden requested under this ICR: 904056 2283717 0  
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