Preparing Patient Records

Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery (OAS CAHPS) Survey (CMS-10500)

OMB: 0938-1240

IC ID: 216391

Information Collection (IC) Details

View Information Collection (IC)

Preparing Patient Records
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10500 Outpatient and Ambulatory Surgery OAS CAHPS Survey OAS CAHPS_OMB_Attachment_A_OAS CAHPS Survey-04-21-15.docx No   Fillable Printable

Health Health Care Services

 

9,463 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 9,463 0 0 0 0 9,463
Annual IC Time Burden (Hours) 321,742 0 0 0 0 321,742
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk OAS CAHPS Crosswalk of Changes to Survey-Letter-Intro.xlsx 05/06/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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