Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Mode Experiment Modified 7850 1021 0 Form CMS-10500 OAS CAHPS (Mail Survey)
Form and Instruction CMS-10500 OAS CAHPS (Telephone Script)
Form and Instruction CMS-10500 OAS CAHPS (Web Survey Screenshots)
National Implementation Modified 631200 82056 0 Form CMS-10500 OAS CAHPS (Mail Survey)
Form and Instruction CMS-10500 OAS CAHPS (Telephone Script)
Form and Instruction CMS-10500 OAS CAHPS (Web Survey Screenshots)
Patient Records Modified 2174 72131 0 Form and Instruction CMS-10500 OAS CAHPS (Mail Survey)
Form CMS-10500 OAS CAHPS (Telephone Script)
Form and Instruction CMS-10500 OAS CAHPS (Web Survey Screenshots)
Total burden requested under this ICR: 641224 155208 0  
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