Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HQIC Hospital Survey New 500 165 0 Form and Instruction CMS-10769 HQIIC Hospital Survey
NQIIC Nursing Home Survey New 500 165 0 Form and Instruction CMS-10769 NQIIC Nursing Home Survey
Total burden requested under this ICR: 1000 330 0  
To view an IC, click on IC Title