Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HCAHPS Survey (Patients via Hospital Data Collection) Unchanged 4461 4461 0 Form and Instruction CMS-10102 HCAHPS Survey Instrument (Mail) and Supporting Materials
Form and Instruction CMS-10102 HCAHPS Survey Instrument (Telephone Script)
Form and Instruction CMS-10102 HCAHPS Survey Translation - Spanish
HCAHPS Survey (Patients) Unchanged 2323090 309745 0 Form and Instruction CMS-10102 HCAHPS Survey Instrument (Mail) and Supporting Materials
Form and Instruction CMS-10102 HCAHPS Survey Instrument (Telephone Script)
Form and Instruction CMS-10102 HCAHPS Survey Instrument (Mail) - Spanish
Total burden requested under this ICR: 2327551 314206 0  
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