Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HHCAHPS Survey Modified 1025894 153884 0 Form and Instruction CMS-10275 5. Attachment C_Proposed HHCAHPS Survey questionnaire all languages (final rule)
Participation Exemption Request (PER) Form Modified 940 310 0 Form and Instruction CMS-10275 11. CMS-10275. Attachment F_HHCAHPS Participation Exemption Request Form 2026 APU (final rule)
Patient Files Modified 98652 197304 0 Instruction
Total burden requested under this ICR: 1125486 351498 0  
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