Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supp. Regs. in 42 CFR 48.55, 484.205, 484.245, 484.250

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0760 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-R-245 Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supp. Regs. in 42 CFR 48.55, 484.205, 484.245, 484.250 Form and Instruction
CMS-R-245 Outcome and Assessment Information Set (OASIS-B1) CMS-R-245.Instrument.DOC Form and Instruction
CMS-R-245 Outcome and Assessment Information Set (OASIS-B1) CMS-R-245 Instrument-Redline.DOC Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supp. Regs. in 42 CFR 48.55, 484.205, 484.245, 484.250	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 484.245 42 CFR 484.205 42 CFR 484.250 42 CFR 484.55

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-R-245	Outcome and Assessment Information Set (OASIS-B1)	CMS-R-245.Instrument.DOC		Yes	Yes	Fillable Fileable
Form and Instruction	CMS-R-245	Outcome and Assessment Information Set (OASIS-B1)	CMS-R-245 Instrument-Redline.DOC		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,277	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,977,601	890,036	11,087,565
Annual IC Time Burden (Hours)	8,983,201	-355,983	9,339,184
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.