Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HHCAHPS Survey Modified 1186240 237248 0 Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
Instruction
Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10275
Form CMS-10237
Participation Exemption Request (PER) Form Modified 700 231 0 Form CMS-10275
Patient Files Modified 107880 215760 0 Instruction
Total burden requested under this ICR: 1294820 453239 0  
To view an IC, click on IC Title