National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS)

National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) CMS-10102

OMB: 0938-0981

IC ID: 8843

Information Collection (IC) Details

View Information Collection (IC)

National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10102 Appendix C CMS-10102_Supporting_Statement_Part_A_(Appendix_C).pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10102 Appendix A CMS-10102_Supporting_Statement_Part_A_(Appendix_A).pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10102 Appendix B CMS-10102_Supporting_Statement_Part_A_(Appendix_B).pdf Yes Yes Fillable Fileable

Health Health Care Services

 

2,710,000 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 2,710,000 0 0 230,000 0 2,480,000
Annual IC Time Burden (Hours) 361,333 0 0 71,991 0 289,342
Annual IC Cost Burden (Dollars) 16,500,403 0 0 1,400,403 0 15,100,000

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