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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
HOPDs/ASCs Patient Records
Modified
3300
92400
0
Form and Instruction
CMS-10500
OAS CAHPS (Mail Survey)
Form
CMS-10500
OAS CAHPS (Telephone Script)
Form and Instruction
CMS-10500
OAS CAHPS (Web Survey Screenshots)
Mode Experiment
Removed
0
0
0
Form
CMS-10500
OAS CAHPS (Mail Survey)
Form and Instruction
CMS-10500
OAS CAHPS (Telephone Script)
Form and Instruction
CMS-10500
OAS CAHPS (Web Survey Screenshots)
National Implementation
Modified
990000
128700
0
Form
CMS-10500
OAS CAHPS (Mail Survey)
Form and Instruction
CMS-10500
OAS CAHPS (Telephone Script)
Form and Instruction
CMS-10500
OAS CAHPS (Web Survey Screenshots)
Total burden requested under this ICR:
993300
221100
0
To view an IC, click on IC Title