PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
HCAHPS Survey (Patients via Hospital Data Collection)
Modified
4200
4200
16800000
Form and Instruction
CMS-10102
HCAHPS Survey Instrument (Mail) and Supporting Materials
HCAHPS Survey (Patients)
Modified
3100000
413230
18875000
Form and Instruction
CMS-10102
HCAHPS Survey Instrument (Mail) and Supporting Materials
Total burden requested under this ICR:
3104200
417430
35675000
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