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

View Information Collection (IC)

CAHPS for MIPS Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10450 Yes Yes Fillable Fileable
Form and Instruction CMS-10450 Yes Yes Fillable Fileable
Form and Instruction CMS-10450 Yes Yes Fillable Fileable

Health Public Health Monitoring

 

132,307 0
   
Individuals or Households
 
   100 %

  Approved 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 132,307 0 15,007 0 0 117,300
Annual IC Time Burden (Hours) 43,661 0 4,131 0 0 39,530
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Initial Cover Letter 11/01/2016
Second Cover Letter 11/01/2016
Crosswalk 11/01/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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