Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Mode Experiment Modified 4710 612 0 Form CMS-10500 Outpatient and Ambulatory Surgery OAS CAHPS Survey
Other-Cover Letter
Form and Instruction CMS-1500 Telephone Interview Script for the Outpatient and Ambulatory Surgery OAS CAHPS Survey
National Implementation New 2808900 365157 0 Form CMS-10500 Outpatient and Ambulatory Surgery OAS CAHPS Survey
Other-Cover Letter
Form and Instruction CMS-10500 Telephone Interview Script for the Outpatient and Ambulatory Surgery OAS CAHPS Survey
Preparing Patient Records New 9463 321742 0 Form CMS-10500 Outpatient and Ambulatory Surgery OAS CAHPS Survey
Total burden requested under this ICR: 2823073 687511 0  
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