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
0
Form and Instruction
CMS-10102
HCAHPS Survey Instrument (Mail) and Supporting Materials
Form and Instruction
CMS-10102
HCAHPS Survey Instrument (Telephone Script)
Form and Instruction
CMS-10102
HCAHPS Survey Instrument (AVIR Script)
HCAHPS Survey (Patients)
Modified
3104200
375090
0
Form and Instruction
CMS-10102
HCAHPS Survey Instrument (Mail) and Supporting Materials
Form and Instruction
CMS-10102
HCAHPS Survey Instrument (Telephone Script)
Form and Instruction
CMS-10102
HCAHPS Survey Instrument (AVIR Script)
Total burden requested under this ICR:
3108400
379290
0
To view an IC, click on IC Title