Information Collection

Consumer Research on Public Reporting of Hospital Quality Measures (CMS-10360) - Initial Screening Round 1 Exploratory Research

IC 196975 under ICR 201103-0938-005 · OMB 0938-1143.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1143 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A_Screeners_01_28_2011.docx	Instruction
FG Handout _1_Six Aims for Improvement_IOM_1_26_2011.doc.docx FG Handout _1_Six Aims for Improvement_IOM_1_26_2011	IC Document
FG Handout _2_Quality Measures IOM Table_1_27_2011.docx FG Handout _2_Quality Measures IOM Table_1_27_2011	IC Document
FG Handout _3_Safety Categories_plain language defs_1_26_2011.doc.docx FG Handout _3_Safety Categories_plain language defs_1_26_2011	IC Document
FG Handout _4_HAC Displays_1_26_2011.doc.docx FG Handout _4_HAC Displays_1_26_2011	IC Document
FG Handout _5_HAI Display_1_26_2011.doc.docx FG Handout _5_HAI Display_1_26_2011	IC Document
FG Handout _6_Timeliness measures_1_26_2011.doc.docx FG Handout _6_Timeliness measures_1_26_2011	IC Document

IC Title:

Consumer Research on Public Reporting of Hospital Quality Measures (CMS-10360) - Initial Screening Round 1 Exploratory Research

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Attachment A_Screeners_01_28_2011.docx		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	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	120	0	0	0	0	0
Annual IC Time Burden (Hours)	127	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FG Handout _1_Six Aims for Improvement_IOM_1_26_2011	FG Handout _1_Six Aims for Improvement_IOM_1_26_2011.doc.docx	02/18/2011
FG Handout _2_Quality Measures IOM Table_1_27_2011	FG Handout _2_Quality Measures IOM Table_1_27_2011.docx	02/18/2011
FG Handout _3_Safety Categories_plain language defs_1_26_2011	FG Handout _3_Safety Categories_plain language defs_1_26_2011.doc.docx	02/18/2011
FG Handout _4_HAC Displays_1_26_2011	FG Handout _4_HAC Displays_1_26_2011.doc.docx	02/18/2011
FG Handout _5_HAI Display_1_26_2011	FG Handout _5_HAI Display_1_26_2011.doc.docx	02/18/2011
FG Handout _6_Timeliness measures_1_26_2011	FG Handout _6_Timeliness measures_1_26_2011.doc.docx	02/18/2011

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