Medicare and Medicaid Programs OASIS Collection Requirement (Training)

Outcome and Assessment Information Set (OASIS-D) (CMS-10545)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1279 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-10545 Medicare and Medicaid Programs OASIS Collection Requirement (Training) Form and Instruction
CMS-10545 - OASIS-D Guidance Manual-7-2-2018 Final.pdf Instruction
CMS-10545 Oasis-D-Data Item Set CMS-10545 - Attachment B OASIS 2019 rev2.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Medicare and Medicaid Programs OASIS Collection Requirement (Training)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 484.245 42 CFR 484.250 42 CFR 484.205 42 CFR 484.55

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10545	Oasis-D-Data Item Set	CMS-10545 - Attachment B OASIS 2019 rev2.docx		Yes	Yes	Fillable Fileable
Instruction			CMS-10545 - OASIS-D Guidance Manual-7-2-2018 Final.pdf		Yes	No	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,149	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,149	-49	12,198
Annual IC Time Burden (Hours)	97,192	-392	97,584
Annual IC Cost Burden (Dollars)	0	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.