Patient Assessment

CAHPS Home Health Care Survey

OMB: 0938-1066

IC ID: 195477

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Information Collection (IC) Details

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Patient Assessment
 
No Modified
 
Voluntary
 
42 CFR 484.250

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

9,890 0
   
Private Sector 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 9,890 0 0 0 0 9,890
Annual IC Time Burden (Hours) 158,240 0 0 0 0 158,240
Annual IC Cost Burden (Dollars) 0 0 0 -39,560,000 0 39,560,000

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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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