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

View Information Collection (IC)

National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey English Yes Yes Paper Only
Other-Survey Spanish Yes Yes Paper Only
Other-Survey Chinese Yes Yes Paper Only

Health Health Care Services

 

2,820,000 0
   
Individuals or Households
 
   0 %

  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 2,820,000 0 -32,000 0 0 2,852,000
Annual IC Time Burden (Hours) 329,940 0 44,740 0 0 285,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10102 OMB2007 - CAHPS Hospital Survey (Chinese) disclosure statement 09/22/2007
CMS-10102 OMB2007 - Interactive Voice Response Script 09/22/2007
CMS-10102 OMB2007 - Telephone Script_English 09/22/2007
CMS-10102 OMB2007 - Telephone Script_Spanish 09/22/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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