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CAHPS Hospice Survey CMS-10537)
ICR 202304-0938-011
OMB: 0938-1257
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-1257
ICR 202304-0938-011
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1257 can be found here:
2024-07-10 - Revision of a currently approved collection
Forms and Documents
Document
Name
Status
Form CMS-10537 National Implementation
Form and Instruction
Modified
CMS-10537 Hospice Survey OMB_Statement_B _.docx
Supporting Statement B
2023-04-17
CMS-10537 Hospice Survey _Statement_A_.docx
Supporting Statement A
2023-04-17
Attachment_B_Case_Mix_Adjustment_Hospcie_CAHPS.pdf
Supplementary Document
2020-07-01
cahps-hospice-survey-quality-assurance-guideline-v6.0---september-2019.pdf
Supplementary Document
2020-07-01
IC Document Collections
IC ID
Document
Title
Status
212899
National Implementation
Form and Instruction
Modified
ICR Details
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