Single Ease Question for User Insights on Hospital Quality Reporting (CMS-10800)

Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams (CMS-10706)

OMB: 0938-1397

IC ID: 250773

Information Collection (IC) Details

View Information Collection (IC)

Single Ease Question for User Insights on Hospital Quality Reporting (CMS-10800) CCSQ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10800 HQR Touchpoints Survey CMS-10800 Generic Clearance_HQR_Touchpoints_12-14-21.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 6 0 6 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10800 Gen IC CMS-10800 Generic Clearance_HQR_Touchpoints_12-14-21.docx 12/14/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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