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  
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