CAHPS Home Health Care Survey (CMS-10275)

CAHPS Home Health Care Survey

OMB: 0938-1066

IC ID: 188901

Documents and Forms
Document Name
Document Type
Other-Survey and Questionnaires
Information Collection (IC) Details

View Information Collection (IC)

CAHPS Home Health Care Survey (CMS-10275)
 
  New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey and Questionnaires HomeHealthCAHPS_OMB_PartC.doc Yes Yes Paper Only

Health Health Care Services

 

2,706,000 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 2,706,000 0 2,706,000 0 0 0
Annual IC Time Burden (Hours) 541,200 0 541,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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