Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Inpatient Psychiatric Facility Quality Reporting Program Modified 1428032 4662154 0 Form and Instruction CMS-10432 IPF Data Accuracy Form
Form and Instruction CMS-10432 HBIPS Measures Data Collection Tool
Form and Instruction CMS-10432 Vendor Authorization Form
Form and Instruction CMS-10432 Online Data Entry Tool Content for Structural Measures
Form and Instruction CMS-10432 FY 2019 Non-Measure Data Collection Paper Tool
Form and Instruction CMS-10432 IPF Screen shots
Form and Instruction CMS-10432 Notice of Participation
Form and Instruction CMS-10432 Online Data Entry Tool Content for Web-Based Measure Collection
Form and Instruction CMS-10432 TOB IMM Collection Form
Form and Instruction CMS-10432 Transitions Measures Collection Form
Form and Instruction CMS-10432 Substance Use Measure Collection
Total burden requested under this ICR: 1428032 4662154 0  
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