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Federal forms, ICRs, and supporting documents

Information Collection

Testing of Revised OASIS Instrument for Home Health Quality Measures & Data Analysis

IC 182822 under ICR 200711-0938-011 · OMB 0938-1040.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Part 2 Form
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Testing of Revised OASIS Instrument for Home Health Quality Measures & Data Analysis
 
No New
 
Voluntary
 
42 CFR 484 and 488

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10238 CMS-10238 - OASIS Instrument CMS-10238 OASIS-C_ALL_10180 7 instrument.pdf No No Printable Only
Form and Instruction CMS-10238 CMS-10238 - OASIS Instrument (Revised) OASIS-C_Pg1_Rev_3-6-08.pdf No   Printable Only
Other-Part 2 Form OASIS Form 83 - Part 2_rev_03_06_08.doc Yes Yes Fillable Printable

Health Health Care Services

 

11 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 11 0 11 0 0 0
Annual IC Time Burden (Hours) 298 0 298 0 0 0
Annual IC Cost Burden (Dollars) 11,205 0 11,205 0 0 0

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