Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Inpatient Psychiatric Facility Quality Reporting Program Modified 696927 139385 0 Form and Instruction CMS-10432 IPF Screen Shots
Form CMS-10432 HBIPS Measures Data Collection Tool
Form CMS-10432 Assessment of Patient Experience of Care & Use of an Electronic Health Record
Form CMS-10432 Screening for Metabolic Disorders
Form Substance Use: SUB 1, 2, and 2a CMS-10432
Form TOB 1, 2, 2a, 3 and 3a, and IMM 2 CMS-10432
Form CMS-10432 Transition Record
Training New 1617 3234 0
Total burden requested under this ICR: 698544 142619 0  
To view an IC, click on IC Title