Medicare and Medicaid Programs OASIS Collection Requirements (Training)

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⚠️ Notice: This information collection may be referencing outdated material.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 (Training) Form and Instruction
CMS-R-245 Outcome and Assessment Information Set (OASIS-B1) CMS-R-245.Instrument.DOC Form and Instruction

Information Collection (IC) Details

IC Title:	Medicare and Medicaid Programs OASIS Collection Requirements (Training)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,170	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	183,060	174,608	8,452
Annual IC Time Burden (Hours)	732,240	664,624	67,616
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.