View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Inpatient Psychiatric Facility Quality Reporting Program
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10432 Yes Yes Fillable Printable
Form CMS-10432 Yes Yes Fillable Printable
Form CMS-10432 Yes Yes Fillable Printable
Form CMS-10432 Yes Yes Fillable Printable

Health Health Care Services

 

1,626 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 904,056 307,856 0 0 0 596,200
Annual IC Time Burden (Hours) 2,283,717 4,517 0 0 0 2,279,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk 05/23/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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