View Information Collection (IC)

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-R-245 OASIS-C1 Revised OASIS-C 1. 09.27.13. 508.pdf Yes Yes Fillable Fileable

Health Health Care Services

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

12,014 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 17,268,890 0 796,555 0 0 16,472,335
Annual IC Time Burden (Hours) 15,224,141 0 -1,251,867 0 0 16,476,008
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OASIS Burden Calculations OASIS Burden Calculations.09.30.13.docx 11/25/2013
OASIS-C to Draft OASIS C-1 - Items, Timepoints and Uses Crosswalk Attachment A. OASIS C to C1 Items Timepoints and Uses.10-01-13.pdf 11/25/2013
Crosswalk OASIS-C1 Revisions since 60 day PRA package filing. 10.01.2013.docx 11/25/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.