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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Medicare Health Outcomes Survey (HOS) and Supporting Regulations 42 CFR 422.152
Modified
1737
244187
0
Form
CMS-10203
Medicare Health Outcomes Survey (HOS 3.0)
Form
CMS-10203
Medicare Health Outcomes Survey-Modified (HOS-M)
Other-Mailing materials
Total burden requested under this ICR:
1737
244187
0
To view an IC, click on IC Title