Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Inpatient Psychiatric Facility Quality Reporting Program Modified 12843012 2713065 0 Form CMS-10432 PIX Survey
Form and Instruction CMS-10432 • IPFQR Program Data Entry Screen Shots (includes NOP, DACA, and Vendor Authorization Forms)
Total burden requested under this ICR: 12843012 2713065 0  
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