Information Collection

Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)

IC 257144 under ICR 202211-0938-011 · OMB 0938-1185.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1185 can be found here:

2026-10-14 - Reinstatement with change of a previously approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10820 Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)	Form and Instruction
Form CMS-10820 CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators Guide_Rev 20220803 Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)	Form and Instruction
Form CMS-10820 CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Rev 20221007.docx Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)	Form and Instruction
CMS-10820 CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators G CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators Guide_Rev 20220803.docx	Form and Instruction
CMS-10820 CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators G CMS-10820. CMS OBRHI_Clinician Focus Groups_Moderators Guide_Rev 20220803.docx	Form and Instruction
CMS-10820 CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Re CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Rev 20221007.docx	Form and Instruction
CMS-10820 CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Re CMS OBRHI_Clinician Focus Groups_Eligibility Screener_Rev 20221007.docx	Form and Instruction
CMS-10820.CMS OBRHI_Clinician Focus Groups_Supporting Statement_Rev 20221007 (1).docx CMS-10820.CMS OBRHI_Clinician Focus Groups Supporting Statement_Rev 20221007 (1)	IC Document
CMS-10820.CMS OBRHI_Clinician Focus Groups_Supporting Statement_Rev 20221007 (1).docx CMS-10820.CMS OBRHI_Clinician Focus Groups Supporting Statement_Rev 20221007 (1)	IC Document

Information Collection (IC) Details

Record metadata
IC Title	Clinician Focus Groups on Telehealth and Social Determinants of Health (CMS-10820)