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

View Information Collection (IC)

Medicare and Medicaid OASIS Collection Requirements (Data Collection)
 
No Modified
 
Mandatory
 
42 CFR 484.20 42 CFR 484.250 42 CFR 484.55 42 CFR 484.205 42 CFR 484.245

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10545 OASIS-E Item Set Attachment B_508_OASIS_E_AllItems.pdf Yes Yes Fillable Fileable
Instruction OASIS-E_Merge_Draft_Guidance manual 508.pdf Yes No Printable Only

Health Health Care Services

Home Health Agency (HHA) Outcome and Asessment Information Set (OASIS), HHS/CMS/CMSO (System # 09-70-0522)  72 FR 63906

11,354 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 18,030,766 0 0 0 0 18,030,766
Annual IC Time Burden (Hours) 12,716,847 0 0 0 0 12,716,847
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10545 - Itemized List of Data Elements Attachment C_ OASIS-E Itemized List of Data Elements_V2-12-16-2021_3.31.22 (2)VC 508.pdf 05/19/2022
Crosswalk Crosswalk - changes since 60 day FR notice 4-27-22.docx 05/19/2022
Change table Attachment A_OASIS E change table_V4-01-27-2022.pdf 05/20/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.