Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
National Implementation Modified 1159420 168116 0 Form and Instruction CMS-10537 Hospice Experience of Care Survey -
Form and Instruction CMS-10537 CAHPS Hospice Survey_Korean_
Form and Instruction CMS-10537 CAHPS Hospice Survey_Polish
Form and Instruction CMS-10537 CAHPS Hospice Survey_Portuguese_
Form and Instruction CMS-10537 CAHPS Hospice Survey_Russian_
Form and Instruction CMS-10537 CAHPS Hospice Survey_Simplified Chinese_
Form and Instruction CMS-10537 CAHPS Hospice Survey_Spanish_
Form and Instruction CMS-10537 CAHPS Hospice_Vietnamese Survey_
Form and Instruction CMS-10537 CAHPS Hospice Survey_Traditional Chinese
Total burden requested under this ICR: 1159420 168116 0  
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