Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Health Outcomes Survey (HOS) Modified 629280 201370 0 Form CMS-10203 Medicare Health Outcomes Survey (HOS 3.0)
Form CMS-10203 Medicare Health Outcomes Survey-Modified (HOS-M)
Other-Mailing materials
Other-Mailing materials
Total burden requested under this ICR: 629280 201370 0  
To view an IC, click on IC Title