Mode Experiment

National Implementation of the Hospice Experience of Care Survey (CAHPs Hospice Survey - CMS-10537)

OMB: 0938-1257

IC ID: 212900

Documents and Forms
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Information Collection (IC) Details

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Mode Experiment
 
No Removed
 
Voluntary
 
42 CFR 418

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

Health Health Care Services

 

18,000 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 0 0 -18,000 0 0 18,000
Annual IC Time Burden (Hours) 0 0 -3,150 0 0 3,150
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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