Information Collection

Medicare and Medicaid Programs OASIS Collection Requirement (Training)

IC 215973 under ICR 202107-0938-018 · OMB 0938-1279.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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 Guidance Manual-7-2-2018 Final.pdf	Instruction
CMS-10545 Oasis-D-Data Item Set Attachment-B-OASIS-D1_All Items.pdf	Form and Instruction
CMS-10545 Oasis-D-Data Item Set Attachment-B-OASIS-D1_All Items.pdf	Form and Instruction

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 484.55 42 CFR 484.245 42 CFR 484.250 42 CFR 484.205

Information Collection Instruments:

table that charts list of 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	Attachment-B-OASIS-D1_All Items.pdf		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: 11,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11,400	-749	12,149
Annual IC Time Burden (Hours)	91,200	-5,992	97,192
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.