Information Collection

Medicare and Medicaid Programs OASIS Collection Requirements (Training)

IC 180130 under ICR 201502-0938-004 · OMB 0938-0760.

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 OASIS-C1/ICD-9 Attachement C Final-OASIS-C1-ICD-9-Version-Item-Set-effective-01-01-2015.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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 484.205 42 CFR 484.55 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	OASIS-C1/ICD-9	Attachement C Final-OASIS-C1-ICD-9-Version-Item-Set-effective-01-01-2015.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,014	Number of Respondents for Small Entity: 12,014

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	12,014	12,014
Annual IC Time Burden (Hours)	96,112	96,112
Annual IC Cost Burden (Dollars)	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.